TESSA MIRANN GINGERICH PA
NPI 1215476122
Physician Assistant - Medical in Goodman, MO

Active since February 13, 2017PECOS EnrolledAccepts Medicare Assignment
912B STATE HIGHWAY 59, GOODMAN, MO 64843(417) 364-8300(417) 364-7290 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2023, Jul 29, 2022, Jun 20, 2018 and 1 more (4 updates tracked since 2017).

About Tessa Mirann Gingerich Pa NPPES

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

TESSA MIRANN GINGERICH PA (NPI 1215476122) is an individual medical provider in Goodman, Missouri, licensed in Missouri (2017002400) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1215476122
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTESSA MIRANN GINGERICHCredential: PA
Location Address912B STATE HIGHWAY 59Goodman, MO 64843-8252
Mailing Address912b State Highway 59Goodman, MO 64843-8252 · (417) 364-8300 · Fax (417) 364-7290
Fax(417) 364-7290
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 13, 2017
Last NPPES UpdateOctober 11, 20234 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
NPI 1215476122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MO · 2017002400
912B STATE HIGHWAY 59, Goodman, MO 64843

Other Names 1

Former Name (1)Tessa M Porter Pa

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 and accepts Medicare assignment

Tessa Mirann Gingerich Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820371891
PECOS Enrollment IDI20170217000450
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$79.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Clinic/Center (Rural Health)
912B STATE HIGHWAY 59
GOODMAN, MO 64843

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 Tessa Gingerich's NPI number?

The NPI number for Tessa Gingerich is 1215476122. It was assigned to this individual provider in the NPPES registry on February 13, 2017. The provider is also known as Tessa M Porter PA.

Where is Tessa Gingerich located?

Tessa Gingerich practices at 912B State Highway 59, Goodman, MO 64843. The listed phone number is (417) 364-8300.

What is Tessa Gingerich's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tessa Gingerich enrolled in Medicare?

Yes. Tessa Gingerich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tessa Gingerich accept?

Health plans from Medica list Tessa Gingerich 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 Tessa Gingerich was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.