Jacqueline Emily Evernham, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA13954 Issued in TX

Practice address

5000 Long Prairie Rd Ste 100
Flower Mound, TX 75028-2783

Phone

(972) 420-1776

Fax

(972) 221-8685

NPI assigned

Aug 27, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthotexas Physicians and Surgeons, PLLCGroup PAC ID 3375724792, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Center for Diagnostics & Surgery Plan Hospital, Plano, TX, CCN 450891

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DJBICD
• Direct secure messaging: jacqueline.evernham.1@15749.direct.athenahealth.com

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.

• Orthotexas Physicians and Surgeons, PLLC

  dba OrthoTexas

  • Orthopaedic Surgery Physician
  • Plano, TX
  • NPI 1740590066
  Medicare reassignment Care Compare group NPD (past)
• Pain Institute of America, PLLC

  dba Advanced Pain Institute

  • Specialist
  • Lewisville, TX
  • NPI 1750839866
  Medicare reassignment NPD
• Orthotexas Physicians and Surgeons, PLLC

  • Orthopaedic Surgery Physician
  • Carrollton, TX
  • NPI 1053612564
  NPD
• Orthotexas Physicians and Surgeons, PLLC

  • Orthopaedic Surgery Physician
  • Sherman, TX
  • NPI 1619541711
  NPD
• Greater Texas Anesthesia Consultants PLLC

  • Anesthesiology Physician
  • Plano, TX
  • NPI 1588201073
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Physicians Medical Center, LLC

  dba Texas Health Center for Diagnostics and Surgery Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1316933609
  Care Compare affiliation
• Physicians Medical Center, LLC

  dba Texas Health Center for Diagnostics and Surgery Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1982809257
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1740657568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 LONG PRAIRIE RD STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282783",
            "telephone_number": "972-420-1776",
            "fax_number": "972-221-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 LONG PRAIRIE RD STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282783",
            "telephone_number": "972-420-1776",
            "fax_number": "972-221-8685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Main St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750573640",
            "country_code": "US",
            "telephone_number": "972-866-4246",
            "fax_number": "972-866-4249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERNHAM",
        "first_name": "JACQUELINE",
        "middle_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA13954",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SD",
            "license": "1014",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IA",
            "license": "079660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn J Eutsler, LMFT
• John David Evanich, M.D.
• Jamie Evans, PT, DPT
• Lauren Evans
• Mia Evans, APRN
• Every Cloud Counseling Agency
• Brenda K Ewart, DO
• Exceed Performance and Rehab LLC (Exceed Physical Therapy and Performance)
• Excel Pulmonary LLC
• Extol Healthcare Services LLC

• Surgical Physician Assistant in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.