JASON ADAM JACQUE (MD) – Emergency Medicine Physician, NPI 1255678975

JASON ADAM JACQUE (MD) is a healthcare provider. based in Austin, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD61661947 (WA). The NPI Number for JASON ADAM JACQUE (MD) is 1255678975

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
JASON ADAM JACQUE (MD)
NPI
1255678975
Phone
(512) 452-8533
Address
6300 LA CALMA DR
Enumeration Date
15 January 2013
Last Update Date
15 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605142142
Graduation Year
2012 (14 years ago)
PAC ID
9739472523
Group Practice PAC ID
3870526858
Professional Enrollment ID
I20250415001879
Address ID
WA986643225VA600XXAVEX400

Contacts

Secure Messaging
jjacque933714@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness95
Years active:13State licenses:1Other names

4,066 EMERGENCY MEDICINE in TX

Provider Addresses for JASON ADAM JACQUE (MD)

  • 6300 LA CALMA DR

    STE 200

    AUSTIN, TX 787523843

    Phone: (512) 452-8533

    Type: Location

  • 615 W 7TH ST

    APT 1002

    AUSTIN, TX 787012816

    Phone: (646) 400-2608

    Type: Mailing

  • PO BOX 840003

    DALLAS, TX 752840003

    Phone: (254) 724-2111

    Type: Mailing

  • 400 NE MOTHER JOSEPH PL

    VANCOUVER, WA 986643200

    Phone: (360) 514-2000

    Type: Location

  • 5245 W HIGHWAY 290

    AUSTIN, TX 787358963

    Phone: (512) 654-2100

    Fax: (512) 654-2101

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-15

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160802000502IEmergency MedicineTXTBD
I20250415001879IEmergency MedicineWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making143139$0
99283Emergency department visit with low level of medical decision making130126$0
99285Emergency department visit with high level of medical decision making3737$0
99282Emergency department visit with straightforward medical decision making2323$0
View full utilization report →

Insurance plans in this area (ZIP 78752)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870526858View full group profile
NameSpecialtyState
Emergency MedicineMD
Emergency MedicinePA
Critical Care (Intensivists), Emergency MedicineCA
Emergency MedicineWA
Emergency MedicineOH
-CA
Emergency MedicineIL
-CA
Emergency MedicineWI
Emergency MedicinePA

Reviews

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Frequently asked questions

What is the registry number for JASON ADAM JACQUE (MD)?
The registry entry for JASON ADAM JACQUE (MD) shows NPI 1255678975.
Is JASON ADAM JACQUE (MD) currently accepting referrals based on NPI status?
Registry metadata lists JASON ADAM JACQUE (MD) as active.
What type of care does JASON ADAM JACQUE (MD) provide?
JASON ADAM JACQUE (MD)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to JASON ADAM JACQUE (MD)?
JASON ADAM JACQUE (MD) shows a connection to Austin, Texas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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