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

Individual provider Physician Assistant · NPI 1699416321

Jessica Mickus, PA-C is a Physician Assistant in Dallas, Texas. Graduated from University of North Texas Hsc, College of Osteopathic Med in 2022, 4 years ago. Practices with Sreedevi Kodali, MD, PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Trained at
University of North Texas Hsc, College of Osteopathic Med
Licensed in
TX
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5949 Sherry Ln Ste 1150
Dallas, TX 75225-8066
Phone: (888) 808-6651
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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 PA15611 (TX)

Record details

NPI number1699416321
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 2022 (4 years in practice)
Group practice Sreedevi Kodali, M.D., Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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