Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquelynn T Anderson, PA

Individual provider Physician Assistant · NPI 1912626227

Jacquelynn T Anderson, PA is a Physician Assistant in Llano, Texas. Qualified in 2024, 2 years ago. Practices with Clear Creek Dermatology, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

904 Ford St
Llano, TX 78643-2345
Phone: (830) 953-1700
Fax: (830) 953-1717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3600 N Garfield St, Midland, TX 79705-6329 — (254) 466-9859

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18346 (TX)

Record details

NPI number1912626227
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 22, 2022
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Clear Creek Dermatology — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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