Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS JESSICA DIANE WOMACK MPA, PA-C
NPI 1700110582
Physician Assistant - Surgical in Fort Worth, TX

Q: What is Jessica Womack's NPI number?

The NPI number for Jessica Womack is 1700110582. It was assigned to this individual provider in the NPPES registry on September 25, 2009.

Q: What is Jessica Womack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Womack was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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 September 25, 2009PECOS EnrolledAccepts Medicare Assignment

76.36/100

CMS Quality Rating

1900 MISTLETOE BLVD STE 200, FORT WORTH, TX 76104(817) 878-5333(817) 878-5334 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 11, 2026, Sep 17, 2020, Feb 4, 2016 (3 updates tracked since 2016).

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About Miss Jessica Diane Womack Mpa, Pa-c NPPES

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

MISS JESSICA DIANE WOMACK MPA, PA-C (NPI 1700110582) is an individual surgical provider in Fort Worth, Texas, licensed in Texas (PA18577) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and maintains a secondary practice location in Midlothian.

NPPES Registry Identity

NPI1700110582

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMISS JESSICA DIANE WOMACKCredential: MPA, PA-C

Location Address1900 MISTLETOE BLVD STE 200Fort Worth, TX 76104-4049

Mailing Address1115 Boulders Pkwy, Suite 200North Chesterfield, VA 23225-4067 · (804) 560-5595 · Fax (804) 560-9029

Phone(817) 878-5333

Fax(817) 878-5334

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateSeptember 25, 2009

Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1700110582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TX · PA18577

Also ListedPhysician AssistantTaxonomy 363A00000X · License 0110003149 (VA)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0110003149 (VA)

1900 MISTLETOE BLVD STE 200, Fort Worth, TX 76104

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Secondary Practice Location 1

Location 113700 St Francis Blvd, Suite 103Midlothian, VA 23114-3222 · Phone (804) 379-2414 · Fax (804) 379-2413

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

Miss Jessica Diane Womack Mpa, Pa-c 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 ID840338380

PECOS Enrollment IDI20250402001794

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.

Hospital Affiliations CMS Care Compare 3

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450135

Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County

Emergency services Birthing friendly

Medical City Fort Worth

Acute Care Hospitals · Fort Worth, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450672

Location900 Eighth AvenueFort Worth, TX 76104 · Tarrant County

Emergency services

Baylor Scott And White Surgical Hospital Fortworth

Acute Care Hospitals · Fort Worth, TX

OwnershipPhysician

CMS Certification Number450880

Location1800 Park Place AvenueFort Worth, TX 76110 · Tarrant County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.36/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.16

Promoting Interoperability

100

Improvement Activities

Cost

54.07

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.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748

DME-Other DME · category DE000N

1 supplier26 claims26 services$3,758.22 avg. paid by Medicare

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0637

DME-Orthotic Devices · category DF007N

1 supplier28 claims28 services$806.75 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 11

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

KELLEY D ELLIS RNFA, CNOR

Registered Nurse (Medical-Surgical)

1900 MISTLETOE BLVD STE 200
FORT WORTH, TX 76104

Tarrant County (817) 878-5333

MR. AARON SHANE WASHINGTON PA-C

Physician Assistant (Surgical)

1900 MISTLETOE BLVD STE 200
FORT WORTH, TX 76104

Tarrant County (817) 878-5333

KEVIN TRAN PA-C

Physician Assistant (Surgical)

1900 MISTLETOE BLVD STE 200
FT WORTH, TX 76104

Tarrant County (817) 878-5333

BRENT T ALFORD M.D.

Neurological Surgery

1900 MISTLETOE BLVD STE 200
FORT WORTH, TX 76104

Tarrant County (817) 878-5333

FRANCINE RENEE SPENCER RNFA

Registered Nurse (Registered Nurse First Assistant)

1900 MISTLETOE BLVD STE 200
FORT WORTH, TX 76104

Tarrant County (817) 878-5333

ASHLEY WATSON AKERS PA-C

Physician Assistant

1900 MISTLETOE BLVD STE 200
FORT WORTH, TX 76104

Tarrant County (817) 878-5333

ANTHONY W. LEE MD

Neurological Surgery

1900 MISTLETOE BLVD STE 200
FORT WORTH, TX 76104

Tarrant County (817) 878-5333

THOMAS S ELLIS M.D.

Neurological Surgery

1900 MISTLETOE BLVD STE 200
FORT WORTH, TX 76104

Tarrant County (817) 878-5333

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 Womack's NPI number?

The NPI number for Jessica Womack is 1700110582. It was assigned to this individual provider in the NPPES registry on September 25, 2009.

Where is Jessica Womack located?

Jessica Womack practices at 1900 Mistletoe Blvd Ste 200, Fort Worth, TX 76104. The listed phone number is (817) 878-5333.

What is Jessica Womack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jessica Womack enrolled in Medicare?

Yes. Jessica Womack 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.

Is Jessica Womack affiliated with any hospitals?

According to CMS data, Jessica Womack is affiliated with Texas Health Harris Methodist Hospital Fort Worth, Medical City Fort Worth and Baylor Scott And White Surgical Hospital Fortworth.

When was this NPI record last updated?

The NPPES record for Jessica Womack was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.