Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mrs. Jill Darlene Pridgen, PA-C, M.S.
Physician Assistant in Mabank, TX · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1104021013
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Registry record
Entity type Individual (Type 1)
Name Mrs. Jill Darlene Pridgen
Credential PA-C, M.S.
Sex Female
Practice address 604 S 3rd St, Mabank, TX, 75147
Phone (903) 887-1073
Enumeration date Jun 19, 2007
Last updated in NPPES Oct 26, 2010
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA 01037 (TX) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1104021013 active?
Yes, as of the latest NPPES snapshot, NPI 1104021013 is active (record last updated 2010-10-26).
How do I verify Jill Pridgen's NPI record?
Cross-check NPI 1104021013 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-10-26.