Individual provider Active NPI

Jenine Brinkmann Mezzles, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1093715971
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 00638 Issued in TX
Practice address
100 S Zarzamora St
San Antonio, TX 78207-3743
Phone
(726) 240-6948
Fax
(210) 761-3397
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 00638 TX Primary

Addresses

Primary practice location

100 S Zarzamora St
San Antonio, TX 78207-3743

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (561) 570-5172

Other practice location 1

1314 Guadalupe St Ste 105
San Antonio, TX 78207-5582
Phone (109) 371-5971

Other identifiers 1

IdentifierTypeStateIssuer
PA00638OtherTXLISCENCE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenine.mezzles.1@29601.direct.athenahealth.com Direct

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
I20220914001226 TX Practitioner - Physician Assistant 8921483884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management of Texas, P.a.Group PAC ID 8729302278, 146 clinicians

Practice addresses (Care Compare)

100 S Zarzamora St
Conviva Care Center
San Antonio, TX 78207-3743
Phone (210) 761-3395

260 US Hwy 181 N
Floresville, TX 78114-3136
Phone (830) 393-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 00638TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (SC) PC CurrentSince Jun 13, 2022 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

100 S Zarzamora St
San Antonio, TX 78207
Phone (210) 761-3393

Interoperability endpoints

  • Direct secure messaging: jenine.mezzles.1@29601.direct.athenahealth.com

Organizations & group practices 2

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1093715971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "561-570-5172",
            "fax_number": "786-472-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ZARZAMORA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073743",
            "telephone_number": "726-240-6948",
            "fax_number": "210-761-3397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 Guadalupe St Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782075582",
            "country_code": "US",
            "telephone_number": "109-371-5971",
            "fax_number": "210-686-3831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEZZLES",
        "first_name": "JENINE",
        "middle_name": "BRINKMANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA 00638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENCE NUMBER",
            "identifier": "PA00638",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenine.mezzles.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 S Zarzamora St",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782073743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.