Jessica Mendez Gonzalez

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA18461 Issued in TX

Practice address

828 Myer LN
Kermit, TX 79745-4634

Phone

(432) 586-2040

NPI assigned

Aug 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winkler County Memorial Hospital Hospital, Kermit, TX, CCN 451314

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Winkler County Hospital District

  • Critical Access Hospital
  • Kermit, TX
  • NPI 1730183658
  Medicare reassignment
• Winkler County Hospital District

  • Rural Health Clinic/Center
  • Kermit, TX
  • NPI 1336143007
  NPD (past)

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

• Winkler County Hospital District

  • Critical Access Hospital
  • Kermit, TX
  • NPI 1730183658
  Care Compare affiliation

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1740908771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ARAPAHO",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797637853",
            "telephone_number": "432-312-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 MYER LN",
            "city": "KERMIT",
            "state": "TX",
            "postal_code": "797454634",
            "telephone_number": "432-586-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JESSICA",
        "middle_name": "MENDEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecil James Magtoto Buguis, DLM, MLS
• Yaime Cancio Companioni, RN
• County of Winkler
• Daniel Lawrence Desilets, DDS
• Arthur Bernard Tiu Fajardo, M.D.
• John Judson Graves, D.D.S.
• Jo Nell Wilkinson & William Jack Wilkinson
• Keri Franklin Jones, RN
• JVHD LLC
• Reana Lopez

• Physician Assistant in Kermit, TX
• Providers in Kermit, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.