Jessica S Richman, PAC
Individual provider Active NPI Physician Assistant · Austin, TX
NPI 1740368448 · NPPES record last updated Jan 16, 2017
Key facts
- NPI
- 1740368448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 85002835 (IL)
- Practice address
- 4207 Burnet Rd
Austin, TX 78756-3316 - Phone
- (512) 706-1900
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Seton Family of Doctors
Practice addresses (Care Compare)
1400 N Ih 35
Austin, TX 78701-1926
1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300
1601 Trinity St
Austin, TX 78712-1765
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150318000243 | TX | Practitioner - Physician Assistant | 2567464043 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85002835 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Family of Doctors | Current |
Accepting new patients | |
| Seton Family of Doctors | Current |
Accepting new patients | |
| Transitions Care Management PA | Past |
Accepting new patients |
Locations
1601 Trinity St
Ste 9901S
Austin, TX 78712
Phone (512) 324-7831
4207 Burnet Rd
Austin, TX 78756
Phone (512) 346-2261
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
Interoperability endpoints
- jessica.richman.1@8363.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 85002835 | IL | Yes |
Addresses
Primary practice location
4207 Burnet Rd
Austin, TX 78756-3316
Mailing address
5009 University Ave
Suite C
Lubbock, TX 79413-4431
Phone (806) 712-1096
NPI Registry JSON
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1740368448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5009 UNIVERSITY AVE",
"address_2": "SUITE C",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794134431",
"telephone_number": "806-712-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4207 BURNET RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787563316",
"telephone_number": "512-706-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMAN",
"first_name": "JESSICA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "85002835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.