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

Jared Robert Sisson, PA

Individual provider Medical Physician Assistant · NPI 1356040042

Jared Robert Sisson, PA is a Physician Assistant in Austin, Texas. Qualified in 2022, 4 years ago. Practices with Ortholonestar PLLC, a 415-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York and Texas.

Years since qualifying
4
Licensed in
NY, TX
In the registry since
2023
Specialties on file
3
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

911 W 38th St Ste 300
Austin, TX 78705-1161
Phone: (512) 439-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4700 Seton Center Pkwy Ste 200, Austin, TX 78759-4107 — (212) 879-4700
  • 4700 Campus Village Dr Ste 100, Round Rock, TX 78665-3025 — (512) 439-1000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA18209 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 029543 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA18209 (TX)

Record details

NPI number1356040042
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 1, 2023
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024
Mailing address507 Virginia Dr, Round Rock, TX 78664-3048

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ortholonestar Pllc — 415 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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