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

DR. JASMINE CORDIEH TETLEY DO
NPI 1881217107
Emergency Medicine in Round Rock, TX

Active since May 20, 2020PECOS Enrolled
300 UNIVERSITY BLVD, ROUND ROCK, TX 78665(512) 509-0100(512) 218-6330 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 27, 2026, May 6, 2026, Apr 5, 2025 and 1 more (4 updates tracked since 2020).

About Dr. Jasmine Cordieh Tetley Do NPPES

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

DR. JASMINE CORDIEH TETLEY DO (NPI 1881217107) is an individual emergency medicine provider in Round Rock, Texas, licensed in Texas (W4213) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1881217107
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. JASMINE CORDIEH TETLEYCredential: DO
Location Address300 UNIVERSITY BLVDRound Rock, TX 78665-1032
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371 · Fax (254) 215-9722
Fax(512) 218-6330
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 20, 2020
Last NPPES UpdateAugust 27, 20264 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
NPI 1881217107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in TX · W4213 Licensed in MS · 34745
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
300 UNIVERSITY BLVD, Round Rock, TX 78665

Secondary Practice Location 1

Location 12500 N State StJackson, MS 39216-4500 · Phone (019) 845-8826

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

Dr. Jasmine Cordieh Tetley Do 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 ID5496285744
PECOS Enrollment IDI20250623002089
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 2

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

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number250001
Location2500 N State StJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Merit Health Madison

Acute Care Hospitals · Canton, MS
OwnershipProprietary
CMS Certification Number250038
Location161 River Oaks DriveCanton, MS 39046 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78665 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Emergency Medicine
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Nurse Practitioner (Neonatal)
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Anesthesiology
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Radiology (Diagnostic Radiology)
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Nurse Anesthetist, Certified Registered
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Anesthesiologist Assistant
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Registered Nurse
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Emergency Medicine
300 UNIVERSITY BLVD
ROUND ROCK, TX 78665

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 Jasmine Tetley's NPI number?

The NPI number for Jasmine Tetley is 1881217107. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Jasmine Tetley located?

Jasmine Tetley practices at 300 University Blvd, Round Rock, TX 78665. The listed phone number is (512) 509-0100.

What is Jasmine Tetley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jasmine Tetley enrolled in Medicare?

Yes. Jasmine Tetley 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 Jasmine Tetley affiliated with any hospitals?

According to CMS data, Jasmine Tetley is affiliated with University Of Mississippi Med Center and Merit Health Madison.

When was this NPI record last updated?

The NPPES record for Jasmine Tetley 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 13 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.