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JELLIRICA PETERS
NPI 1962904722
Nurse Practitioner - Psychiatric/Mental Health in Rollingwood, TX

Active since March 07, 2018PECOS EnrolledAccepts Medicare Assignment
3001 BEE CAVES RD STE 220, ROLLINGWOOD, TX 78746(512) 777-2591 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2023, Dec 11, 2020, Apr 29, 2019 and 1 more (4 updates tracked since 2018).

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

NPI1962904722
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJELLIRICA PETERS
Location Address3001 BEE CAVES RD STE 220Rollingwood, TX 78746-5590
Mailing Address3001 Bee Caves Rd Ste 220Rollingwood, TX 78746-5590 · (512) 229-9691
Phone(512) 777-2591
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 7, 2018
Last NPPES UpdateMarch 1, 20234 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1962904722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · AP136929
3001 BEE CAVES RD STE 220, Rollingwood, TX 78746
Open in Google Maps ↗

Other Names 1

Former Name (1)Jellirica Tan

Secondary Practice Locations 2

Location 112234 Shadow Creek PkwyPearland, TX 77584-7330 · Phone (713) 289-5325
Location 22121 Biscayne Blvd # 1013Miami, FL 33137-5013 · Phone (855) 306-7786

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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

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.

PECOS PAC ID2860756277
PECOS Enrollment IDI20231006002182
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 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.

Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
126 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
118 services30 patients

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.

New Patient
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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 8

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

JOSEPH SWIDER DO
Psychiatry & Neurology (Psychiatry)
3001 BEE CAVES RD STE 220
ROLLINGWOOD, TX 78746
Travis County (512) 777-2591
JOBI GEORGE
Nurse Practitioner (Psychiatric/Mental Health)
3001 BEE CAVES RD STE 220
AUSTIN, TX 78746
Travis County (855) 204-2502
EMMA WILKES SMITH APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3001 BEE CAVES RD STE 220
ROLLINGWOOD, TX 78746
Travis County (512) 777-2591
MR. WILBUR CARRANZA LPC
Counselor (Professional)
3001 BEE CAVES RD STE 220
AUSTIN, TX 78746
Travis County (512) 777-2591
PATRICIA JEAN HERNANDEZ LCSW
Social Worker (Clinical)
3001 BEE CAVES RD STE 220
AUSTIN, TX 78746
Travis County (512) 777-2591
KOTEL ATX
Clinic/Center (Adult Mental Health)
3001 BEE CAVES RD STE 220
AUSTIN, TX 78746
Travis County (855) 204-2502
MARANDA MEDINA LCSW
Social Worker (Clinical)
3001 BEE CAVES RD STE 220
AUSTIN, TX 78746
Travis County (512) 777-2591
MRS. ERIN KATHLEEN COCHRAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3001 BEE CAVES RD STE 220
AUSTIN, TX 78746
Travis County (512) 777-2591

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.

What insurance does Jellirica Peters accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon 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.