DR. JACQUELINE SHIRLEY PETESCIA AUD
NPI 1801712997
Audiologist in Dallas, TX

Active since June 24, 2026
1966 INWOOD RD, DALLAS, TX 75235(972) 883-3000(972) 883-3068 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jacqueline Shirley Petescia Aud NPPES

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

DR. JACQUELINE SHIRLEY PETESCIA AUD (NPI 1801712997) is an individual audiologist in Dallas, Texas, licensed in Texas (81871) and active in the NPI registry since June 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1801712997
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameDR. JACQUELINE SHIRLEY PETESCIACredential: AUD
Location Address1966 INWOOD RDDallas, TX 75235-7298
Mailing Address1966 Inwood RdDallas, TX 75235-7298 · (972) 883-3000 · Fax (972) 883-3068
Fax(972) 883-3068
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1801712997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in TX · 81871
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
1966 INWOOD RD, Dallas, TX 75235

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacqueline Shirley Petescia Aud is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749746667
PECOS Enrollment IDI20260730006285

Medicare Billing Reassignment

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

Audiologist
1966 INWOOD RD
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 16 clinicians in this Medicare group

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

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.

Speech-Language Pathologist
1966 INWOOD RD
DALLAS, TX 75235
Speech-Language Pathologist
1966 INWOOD RD
DALLAS, TX 75235
Audiologist-Hearing Aid Fitter
1966 INWOOD RD
DALLAS, TX 75235
Speech-Language Pathologist
1966 INWOOD RD
DALLAS, TX 75235
Speech-Language Pathologist
1966 INWOOD RD
DALLAS, TX 75235
Audiologist
1966 INWOOD RD
DALLAS, TX 75235
Audiologist-Hearing Aid Fitter
1966 INWOOD RD
DALLAS, TX 75235
Audiologist-Hearing Aid Fitter
1966 INWOOD RD
DALLAS, TX 75235

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 Jacqueline Petescia's NPI number?

The NPI number for Jacqueline Petescia is 1801712997. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Where is Jacqueline Petescia located?

Jacqueline Petescia practices at 1966 Inwood Rd, Dallas, TX 75235. The listed phone number is (972) 883-3000.

What is Jacqueline Petescia's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Jacqueline Petescia enrolled in Medicare?

Yes. Jacqueline Petescia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Petescia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Petescia reassigns Medicare benefits to University Of Texas At Dallas (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Petescia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Petescia was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.