JESSICA GORE PA-C
NPI 1952921967
Physician Assistant - Medical in Hermitage, TN

Q: What is Jessica Gore's NPI number?

The NPI number for Jessica Gore is 1952921967. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Q: What is Jessica Gore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Gore was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 20, 2020PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

5544 OLD HICKORY BLVD, HERMITAGE, TN 37076(615) 515-0029 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2025, May 9, 2024, Apr 20, 2020 (3 updates tracked since 2020).

On this page

About Jessica Gore Pa-c NPPES

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

JESSICA GORE PA-C (NPI 1952921967) is an individual medical provider in Hermitage, Tennessee, licensed in Tennessee (4048) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952921967

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJESSICA GORECredential: PA-C

Location Address5544 OLD HICKORY BLVDHermitage, TN 37076-2576

Mailing AddressPo Box 932958Cleveland, OH 44193-0028 · (615) 425-4200 · Fax (615) 425-4201

Phone(615) 515-0029

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 20, 2020

Last NPPES UpdateJune 25, 20253 updates tracked since enumeration

NPPES CertifiedJune 25, 2025

✔ NPI 1952921967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363AM0700X

License✔ Licensed in TN · 4048

Also ListedPhysician AssistantTaxonomy 363A00000X · License 4048 (TN)

5544 OLD HICKORY BLVD, Hermitage, TN 37076

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

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

Jessica Gore 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 ID7810304177

PECOS Enrollment IDI20210402000193

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

31 services30 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

12 services12 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services12 patients

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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 19

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

BRYAN DAVIDSON

Nurse Practitioner (Family)