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JACQUELYNN T ANDERSON PA
NPI 1912626227
Physician Assistant in Llano, TX

Active since August 22, 2022PECOS EnrolledAccepts Medicare Assignment
904 FORD ST, LLANO, TX 78643(830) 953-1700(830) 953-1717 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2025, Aug 22, 2022 (2 updates tracked since 2022).

About Jacquelynn T Anderson Pa NPPES

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

JACQUELYNN T ANDERSON PA (NPI 1912626227) is an individual physician assistant in Llano, Texas, licensed in Texas (PA18346) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Hill Country Memorial Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1912626227
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELYNN T ANDERSONCredential: PA
Location Address904 FORD STLlano, TX 78643-2345
Mailing Address3600 N Edwards St Apt 2216Midland, TX 79705-5229 · (254) 466-9859
Phone(830) 953-1700
Fax(830) 953-1717
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 22, 2022
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1912626227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA18346
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.
904 FORD ST, Llano, TX 78643
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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 and accepts Medicare assignment

Jacquelynn T Anderson Pa 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 ID5597259887
PECOS Enrollment IDI20251215000311
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

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

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450604
Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78643 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES

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

CLEAR CREEK DERMATOLOGY
Dermatology
904 FORD ST
LLANO, TX 78643
Llano County (830) 953-1700

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 Jacquelynn Anderson's NPI number?

The NPI number for Jacquelynn Anderson is 1912626227. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Jacquelynn Anderson located?

Jacquelynn Anderson practices at 904 Ford St, Llano, TX 78643. The listed phone number is (830) 953-1700.

What is Jacquelynn Anderson's specialty?

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

Is Jacquelynn Anderson enrolled in Medicare?

Yes. Jacquelynn Anderson 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 Jacquelynn Anderson affiliated with any hospitals?

According to CMS data, Jacquelynn Anderson is affiliated with Hill Country Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jacquelynn Anderson was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.