Individual provider Active NPI

Jessica Rodriguez, PA

  • Surgical Physician Assistant
  • Colleyville, TX
National Provider Identifier
1770117996
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA13439 Issued in TX
Practice address
5009 Heritage Ave
Colleyville, TX 76034-5913
Phone
(817) 590-0800
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13439 TX
Surgical Physician Assistant 363AS0400X PA13439 TX Primary

Addresses

Primary practice location

5009 Heritage Ave
Colleyville, TX 76034-5913

Mailing address

1417 Country Manor Rd
Fort Worth, TX 76134-3626
Phone (817) 807-3390

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200922002074 TX Practitioner - Physician Assistant 5799103859 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians
Legacy Urgent Care PAGroup PAC ID 3072679828, 157 clinicians

Practice addresses (Care Compare)

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 820-4906

1310 W Exchange Pkwy
Suite 100
Allen, TX 75013-7025
Phone (972) 678-4545

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 684-2708

16151 Eldorado Pkwy
Frisco, TX 75035-5817
Phone (972) 731-5151

330 S Denton Tap Rd
Coppell, TX 75019-3207
Phone (469) 312-7777

800 5TH Ave
Fort Worth, TX 76104-7305

8950 N Tarrant Pkwy
North Richland Hills, TX 76182-8465
Phone (817) 281-7277

9205 Legacy Dr
Frisco, TX 75033-6750
Phone (972) 625-6020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Emergency Medicine Associates, PA CurrentSince Jan 31, 2026 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2022 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2022 Accepting new patients
North Houston Advanced Surgical Associates PLLC PastSince Oct 1, 2021 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

5009 Heritage Ave
Colleyville, TX 76034
Phone (817) 590-0880

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

800 5th Ave
Ste 400
Fort Worth, TX 76104
Phone (817) 702-9100

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: jrodriguez333173@directhoustonmethodist.org
  • Direct secure messaging: jrodriguez1859224@direct.texashealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1770117996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 COUNTRY MANOR RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761343626",
            "telephone_number": "817-807-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 HERITAGE AVE",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345913",
            "telephone_number": "817-590-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JESSICA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13439",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA13439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.