Jeanelle Denise Pickering Wolski, LSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00767 Issued in TX

Practice address

4700 Seton Center Pkwy Ste 100
Austin, TX 78759-6215

Phone

(512) 439-1006

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Right Hand Surgical Assistant, LLC

  • Surgical Physician Assistant
  • Austin, TX
  • NPI 1235760240
  NPD Authorized official
• Texas Orthopedics Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1366416125
  NPD (past)

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1891266144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 SAND CREEK RD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137664",
            "telephone_number": "512-716-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787596215",
            "telephone_number": "512-439-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKERING WOLSKI",
        "first_name": "JEANELLE",
        "middle_name": "DENISE",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Unger Pickard, RN
• Katherine Pickard
• Sarah Frederick Pickel, MD
• Amanda Picken, LAC
• Ashley Celeste' Pickens
• Haley Pickert, SLP
• Jason Raine Pickett, M.D.
• Lauren Pickett
• Melanie Pickett, MD
• Pike Pickett, NP

• Surgical Physician Assistant in Austin, TX
• Providers in Austin, 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 Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.