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JESSICA FULLER
NPI 1497553663
Physician Assistant in Lake Jackson, TX

Active since March 04, 2025PECOS Enrolled
114 INDIAN WARRIOR TRL, LAKE JACKSON, TX 77566(979) 480-6682 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Fuller NPPES

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

JESSICA FULLER (NPI 1497553663) is an individual physician assistant in Lake Jackson, Texas and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2025).

NPPES Registry Identity

NPI1497553663
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA FULLER
Location Address114 INDIAN WARRIOR TRLLake Jackson, TX 77566-3230
Mailing Address114 Indian Warrior TrlLake Jackson, TX 77566-3230 · (979) 480-6682
Phone(979) 480-6682
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2025
Enumeration DateMarch 4, 2025
NPPES CertifiedMarch 4, 2025
✔ NPI 1497553663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
114 INDIAN WARRIOR TRL, Lake Jackson, TX 77566
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Fuller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901388412
PECOS Enrollment IDI20260304002264
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 77566 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
$88.15 typical visit price
range $57.16 – $172.89
Typical copayment $22.03 (range $14.29 – $43.22)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.45 – $141.27
Typical copayment $17.82 (range $4.61 – $35.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jessica Fuller's NPI number?

The NPI number for Jessica Fuller is 1497553663. It was assigned to this individual provider in the NPPES registry on March 4, 2025.

Where is Jessica Fuller located?

Jessica Fuller practices at 114 Indian Warrior Trl, Lake Jackson, TX 77566. The listed phone number is (979) 480-6682.

What is Jessica Fuller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessica Fuller enrolled in Medicare?

Yes. Jessica Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Fuller was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.