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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 (785 clinicians)

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 IDStateProvider typePAC IDDetails
I20150318000243 TX Practitioner - Physician Assistant 2567464043 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
85002835ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Current
since Jun 13, 2022
Accepting new patients
Seton Family of Doctors Current
since Jun 13, 2022
Accepting new patients
Transitions Care Management PA Past
since Apr 11, 2016
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

  • Direct secure messaging: jessica.richman.1@8363.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 16, 2017.

{
    "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

All providers in Austin, TX · Physician Assistant in Texas

Sources for this page

Verify at the official NPI Registry.