JESSICA AGWUMARO (PA-C) – Physician Assistant, NPI 1417323643
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for JESSICA AGWUMARO (PA-C)
3804 MEREDITH LN
BALCH SPRINGS, TX 751805016
Phone: (214) 609-7985
Type: Mailing
8062 FERGUSON RD
DALLAS, TX 752285848
Phone: (214) 327-6800
Type: Location
2550 Gray Falls Dr Ste 150
Houston, TX 770776687
Phone: (713) 422-2920
Fax: (281) 720-8809
Type: Location
2201 N Central Expy Ste 125
Richardson, TX 750802701
Phone: (214) 377-1790
Fax: (720) 598-0440
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $682.
Total Amount is formed as General ($682) + Research ($0) + Ownership ($0) = $682.
Last reported payment date: 2024-09-13 • Largest payer in this snapshot: Novo Nordisk Inc ($243).
Total Amount
$682
General + Research + Ownership
Payments
30
Total payment records
General Amount
$682
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $243 |
| AstraZeneca Pharmaceuticals LP | $117 |
| Amgen Inc. | $104 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $91 |
| Lilly USA, LLC | $64 |
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: 2015-11-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151124002553 | I | Physician Assistant | TX | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75180)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Nurse Practitioner | TX | |
| Family Practice | LA | |
| Physician Assistant | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Family Practice | KY | |
| Physician Assistant | MA | |
| - | TX | |
| Nurse Practitioner | TX |
Reviews
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