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Active NPI 1699178582 Individual Practitioner Female Practitioner

Jessica A Black , PA-C

Physician Assistant • Beaumont, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jessica Black, PA-C is a certified Physician Assistant practicing in Beaumont, TX. With approximately 12 years of clinical experience since completing medical education in 2014, Jessica Black delivers high-quality medical care to the local community at 450 N 11TH ST.

Jessica Black is affiliated with Legacy Community Health Services, Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

450 N 11th St

Beaumont, TX 777021804

Telephone 8325485000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Beaumont, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -2.3 yrs vs City Avg
City Avg: 14.3 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
30 Specialists

Practicing in Beaumont, TX (11140 Statewide)

Telehealth Adoption Rate
3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Black (12 Years) 12 Yrs
Beaumont Specialty Average (14.3 Years) 14.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-05-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA17549

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Legacy Community Health Services, Inc

6441 High Star Dr, Houston, TX 770745005

Phone: 8325485300

Legacy Community Health Services, Inc

450 N 11th St, Beaumont, TX 777021804

Phone: 4092422577

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Teandra Gordon , LMFT

Marriage & Family Therapist

NPI 1003186164

Licensed Marriage and Family Therapist

Debbie Pren , FNP

Nurse Practitioner - Family

NPI 1003316258

Family Nurse Practitioner

Anisleidys Rivero , LPC

Counselor - Professional

NPI 1003449281

Licensed Professional Counselor

NPI 1003827619

Doctor of Dental Surgery

Monica Salinas-Osuna

Social Worker - Clinical

NPI 1013494475
Roxann Rodriguez , LCSW

Social Worker - Clinical

NPI 1013675511

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 24, 2024

Registered at 450 N 11TH ST, BEAUMONT, TX 777021804 (Tel: 8325485000)

📍
Updated Business Mailing Address May 24, 2024

Registered at PO BOX 66308, HOUSTON, TX 772666308 (Tel: 8325485000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2024

Physician Assistant (License #PA17549 in TX)

NPI Profile Active September 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2015

Registered at 10967 LAKE UNDERHILL RD, SUITE 122, ORLANDO, FL 328254457 (Tel: 4072823131)

📍
Updated Business Mailing Address September 07, 2015

Registered at 10967 LAKE UNDERHILL RD, SUITE 122, ORLANDO, FL 328254457 (Tel: 4072823131)

👤
Provider Name / Credentials Updated September 07, 2015

Recorded as JESSICA BLACK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2015

Physician Assistant (License #PA9108103 in FL)

🟢
Initial NPI Registration & Enumeration October 06, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699178582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2014
Last Update: May 24, 2024
Sole Proprietor: No

Mailing Address

Po Box 66308

Houston, TX 772666308

Phone: 8325485000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.