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

Jenna L Kavanaugh, PA

Individual provider Surgical Physician Assistant · NPI 1629213756

Jenna L Kavanaugh, PA is a Physician Assistant in Austin, Texas. Qualified in 2008, 18 years ago. Practices with Austin Regional Clinic PA, a 397-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
18
Licensed in
TX
In the registry since
2008
Specialties on file
2
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

1301 W 38th St Ste 102
Austin, TX 78705-1010
Phone: (512) 454-4561
Fax: (512) 406-7330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA05983 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA05983 (TX)

Record details

NPI number1629213756
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 3, 2008
Last updated in NPPESJune 14, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Austin Regional Clinic Pa — 397 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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