Individual provider Active NPI

Jocelyn Jingwa

  • Psychiatric/Mental Health Nurse Practitioner
  • Universal City, TX
National Provider Identifier
1043816002
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1011420 Issued in TX
Practice address
902 Kitty Hawk Rd Ste 170
Universal City, TX 78148-3830
Phone
(210) 965-2787
Fax
(949) 695-4722
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1011420 TX Primary

Addresses

Primary practice location

902 Kitty Hawk Rd Ste 170
Universal City, TX 78148-3830

Mailing address

10332 Gold Rush CRK
San Antonio, TX 78245-3169

Other identifiers 1

IdentifierTypeStateIssuer
1043816002OtherTXNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210121002094 TX Practitioner - Nurse Practitioner 0446664031 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
US Televero Health PAGroup PAC ID 7911318241, 37 clinicians

Practice addresses (Care Compare)

6101 W Courtyard Dr
Suite 2 225
Austin, TX 78730-5044
Phone (512) 956-5003

902 Kitty Hawk Rd
Suite 170
Universal City, TX 78148-3830

920 W Court St
Suite 200
Seguin, TX 78155-3424
Phone (210) 965-2787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1011420TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Mental Wellness PLLC Psychiatric/Mental Health CurrentSince Nov 1, 2023 Accepting new patients
US Televero Health PA Psychiatric/Mental Health CurrentSince Jul 19, 2023 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients

Locations

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

6101 W Courtyard Dr
Ste 2-225
Austin, TX 78730
Phone (877) 474-0155

1248 FM 78
Ste 102
Schertz, TX 78154
Phone (210) 368-2220

902 Kitty Hawk Rd
Ste 170
Universal City, TX 78148
Phone (210) 965-2787

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1043816002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10332 GOLD RUSH CRK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 KITTY HAWK RD STE 170",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483830",
            "telephone_number": "210-965-2787",
            "fax_number": "949-695-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINGWA",
        "first_name": "JOCELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1011420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043816002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Universal City, TX

Sources for this page

Verify at the official NPI Registry.