Jenny Johnson Bischoff, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13535 Issued in TX

Practice address

5230 Old Jacksonville Hwy Ste 105
Tyler, TX 75703-3766

Phone

(430) 562-2343

Fax

(430) 562-9918

NPI assigned

Jan 4, 2021

Last updated

Nov 28, 2022By the provider in NPPES

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

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

University of Texas Medical School at San Antonio, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Provider Health PAGroup PAC ID 2264531276, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Premier Provider Health PA

  • Infectious Disease Physician
  • Austin, TX
  • NPI 1013397066

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Premier Provider Health PA

  dba Han Pham Hulen, MD PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1700032745

  Single Specialty

  NPD (past)

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

• Mother Frances Hospital Regional Health Care Center

  dba Christus Mother Frances Hospital Tyler

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1912595265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 STONEBROOK DR",
            "city": "CHANDLER",
            "state": "TX",
            "postal_code": "757585718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 OLD JACKSONVILLE HWY STE 105",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033766",
            "telephone_number": "430-562-2343",
            "fax_number": "430-562-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISCHOFF",
        "first_name": "JENNY",
        "middle_name": "JOHNSON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billie Bowen Counseling
• Marley Billington, DPT
• Corey Thomas Bindner, MD
• Kendra Yanae Bircher, LPC
• Krescenda Bircher
• Angela Bishop
• Laura Ann Bishop, MS
• Rachel B Bizot, PA
• Rebekah Bjorklund, MD
• Aladrian Black

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.