MR. JEAN DAVI PELLEGALLE APRN, FNP-C, PMHNP-C
NPI 1013528884
Nurse Practitioner - Family in Longview, TX

Active since August 13, 2020PECOS Enrolled
1300 N 6TH ST, LONGVIEW, TX 75601(903) 759-2922 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2020, Aug 13, 2020 (2 updates tracked since 2020).

About Mr. Jean Davi Pellegalle Aprn, Fnp-c, Pmhnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEAN DAVI PELLEGALLE APRN, FNP-C, PMHNP-C (NPI 1013528884) is an individual family provider in Longview, Texas, licensed in Texas (AP144507) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013528884
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JEAN DAVI PELLEGALLECredential: APRN, FNP-C, PMHNP-C
Location Address1300 N 6TH STLongview, TX 75601-5567
Mailing Address7228 County Road 3152Tyler, TX 75708-6704 · (903) 539-5745
Sole ProprietorNo
Enumeration DateAugust 13, 2020
Last NPPES UpdateAugust 29, 20252 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
NPI 1013528884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP144507
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AP144507 (TX)
1300 N 6TH ST, Longview, TX 75601

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Jean Davi Pellegalle Aprn, Fnp-c, Pmhnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
1300 N 6TH ST
LONGVIEW, TX 75601
Counselor (Professional)
1300 N 6TH ST
LONGVIEW, TX 75601
Marriage & Family Therapist
1300 N 6TH ST
LONGVIEW, TX 75601
Social Worker (Clinical)
1300 N 6TH ST
LONGVIEW, TX 75601
Nurse Practitioner (Family)
1300 N 6TH ST
LONGVIEW, TX 75601
Counselor (Professional)
1300 N 6TH ST
LONGVIEW, TX 75601
Nurse Practitioner (Psychiatric/Mental Health)
1300 N 6TH ST
LONGVIEW, TX 75601
Physician Assistant
1300 N 6TH ST
LONGVIEW, TX 75601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jean Pellegalle's NPI number?

The NPI number for Jean Pellegalle is 1013528884. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Where is Jean Pellegalle located?

Jean Pellegalle practices at 1300 N 6th St, Longview, TX 75601. The listed phone number is (903) 759-2922.

What is Jean Pellegalle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jean Pellegalle enrolled in Medicare?

Yes. Jean Pellegalle is registered in the Medicare PECOS enrollment system.

What insurance does Jean Pellegalle accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Jean Pellegalle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jean Pellegalle was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.