JERUSHA MICHAL LANCASTER (PA) – Physician Assistant, NPI 1447812565

JERUSHA MICHAL LANCASTER (PA) is a healthcare provider. based in Grand prairie, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for JERUSHA MICHAL LANCASTER (PA) is 1447812565

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JERUSHA MICHAL LANCASTER (PA)
NPI
1447812565
Phone
(817) 733-9375
Address
5040 STAGECOACH WAY
Enumeration Date
29 June 2019
Last Update Date
29 June 2019

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9729870969
Graduation Year
2019 (7 years ago)
PAC ID
4082005319
Group Practice PAC ID
1052747276
Professional Enrollment ID
I20211222000119
Address ID
TX750633869IR440XXFWYX601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:6State licenses:0Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

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Provider Addresses for JERUSHA MICHAL LANCASTER (PA)

  • 5040, Stagecoach Way, Westchester Valley, Grand Prairie, Dallas County, Texas, 75052, United States

    GRAND PRAIRIE, TX 750522438

    Phone: (817) 733-9375

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2024-01-12 • Largest payer in this snapshot: Nevro Corp. ($46).

Total Amount

$73

General + Research + Ownership

Payments

2

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-12-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211222000119IPhysician AssistantTXTBD

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
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion6540$0
22845Placement of stabilizing device to front, 2-3 spine bone segments3232$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment3130$0
22612Fusion of spine in lower back2928$0
22552Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc2116$0
View full utilization report →

Insurance plans in this area (ZIP 75052)

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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: 1052747276View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Physician AssistantTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for JERUSHA MICHAL LANCASTER (PA)?
JERUSHA MICHAL LANCASTER (PA) — NPI 1447812565 — is the standard way to identify this listing.
Does the file indicate JERUSHA MICHAL LANCASTER (PA) is practicing under active NPI?
Directory data currently reports JERUSHA MICHAL LANCASTER (PA) as active.
What taxonomy line describes JERUSHA MICHAL LANCASTER (PA)?
For research purposes, treat JERUSHA MICHAL LANCASTER (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JERUSHA MICHAL LANCASTER (PA)?
JERUSHA MICHAL LANCASTER (PA)'s geographic hint is Grand Prairie, Texas in our summary view.
Why does JERUSHA MICHAL LANCASTER (PA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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