JESSICA PHAM
NPI 1417816505
Anesthesiologist Assistant in Waco, TX

Q: What is Jessica Pham's NPI number?

The NPI number for Jessica Pham is 1417816505. It was assigned to this individual provider in the NPPES registry on January 15, 2026.

Q: What is Jessica Pham's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Pham was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 15, 2026Accepts Medicare Assignment

100 HILLCREST MEDICAL BLVD, WACO, TX 76712(254) 202-2000(254) 202-5849 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 27, 2026, Apr 24, 2026, Jan 15, 2026 (3 updates tracked since 2026).

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About Jessica Pham NPPES

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

JESSICA PHAM (NPI 1417816505) is an individual anesthesiologist assistant in Waco, Texas, licensed in Texas (789790902) and active in the NPI registry since January 2026. She is affiliated with Baylor Scott & White Medical Center Hillcrest, maintains a secondary practice location in Washington, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1417816505

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameJESSICA PHAM

Location Address100 HILLCREST MEDICAL BLVDWaco, TX 76712-8897

Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371 · Fax (254) 215-9722

Phone(254) 202-2000

Fax(254) 202-5849

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateJanuary 15, 2026

Last NPPES UpdateAugust 27, 20263 updates tracked since enumeration

NPPES CertifiedAugust 27, 2026

✔ NPI 1417816505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in TX · 789790902

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

100 HILLCREST MEDICAL BLVD, Waco, TX 76712

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Secondary Practice Location 1

Location 11 DuPont Cir NW Ste 600Washington, DC 20036-1106 · Phone (202) 758-2502

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Pham 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 ID8426525098

PECOS Enrollment IDI20260430004330

Medicare Billing Reassignment

Medicare enrollment records show Jessica Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scott & White Clinic

31 mi

Internal Medicine

2401 S 31ST ST
Temple, TX 76508

Reassigned Medicare billing, Texas enrollment
2,795 clinicians in this Medicare group

NPI 1093779704 (254) 724-2111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center Hillcrest

Acute Care Hospitals · Waco, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450101

Location100 Hillcrest Medical BlvdWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

ISAAC LILL

Internal Medicine