JELLIRICA PETERS
NPI 1962904722
Nurse Practitioner - Psychiatric/Mental Health in Rollingwood, TX
About Jellirica Peters NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JELLIRICA PETERS (NPI 1962904722) is an individual psychiatric/mental health provider in Rollingwood, Texas, licensed in Texas (AP136929) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jellirica Peters 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jellirica Peters reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pearland, TX 77584
- Reassigned Medicare billing, Texas enrollment
- 67 clinicians in this Medicare group
Corpus Christi, TX 78415
- Reassigned Medicare billing, Texas enrollment
- 22 clinicians in this Medicare group
Grants Pass, OR 97527
- Reassigned Medicare billing, Oregon enrollment
- 125 clinicians in this Medicare group
Coos Bay, OR 97420
- Reassigned Medicare billing, Oregon enrollment
- 24 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78746 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78746
ROLLINGWOOD, TX 78746
AUSTIN, TX 78746
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 Jellirica Peters's NPI number?
The NPI number for Jellirica Peters is 1962904722. It was assigned to this individual provider in the NPPES registry on March 7, 2018. The provider is also known as Jellirica Tan.
Where is Jellirica Peters located?
Jellirica Peters practices at 3001 Bee Caves Rd Ste 220, Rollingwood, TX 78746. The listed phone number is (512) 777-2591.
What is Jellirica Peters's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jellirica Peters enrolled in Medicare?
Yes. Jellirica Peters 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.
Which organizations bill Medicare for Jellirica Peters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jellirica Peters reassigns Medicare benefits to 4 organizations: Texas Behavioral Health PLLC (Pearland, TX), Nueces County Mental Health & Mental Retardation Community Ctr (Corpus Christi, TX), Options For Southern Oregon (Grants Pass, OR) and Coos County Oregon (Coos Bay, OR). Each 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 Jellirica Peters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jellirica Peters accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Regence BlueCross BlueShield of Oregon and WellPoint list Jellirica Peters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jellirica Peters was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Jellirica Peters · NPI 1962904722
Psychiatric/Mental Health physician in Rollingwood, Texas. Individual provider, active in the CMS NPPES registry since March 7, 2018.
## Identity
- **NPI:** 1962904722 (Entity type: Individual)
- **Enumerated:** March 7, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP136929 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3001 BEE CAVES RD STE 220, Rollingwood, TX 78746-5590
- **Phone:** (512) 777-2591
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Texas Behavioral Health PLLC (NPI 1881044337, Pearland, TX); Nueces County Mental Health & Mental Retardation Community Ctr (NPI 1255357828, Corpus Christi, TX); Options For Southern Oregon (NPI 1952708422, Grants Pass, OR); Coos County Oregon (NPI 1811981053, Coos Bay, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1962904722) · Data from the CMS NPPES public registry.