Individual provider Active NPI

Jessica Jimenez-Wilson, CNM

  • Advanced Practice Midwife
  • San Antonio, TX
National Provider Identifier
1124840475
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
11339 Camp Creek TRL
San Antonio, TX 78245-4602
Phone
(210) 831-4452
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X TX Primary

Addresses

Primary practice location

11339 Camp Creek TRL
San Antonio, TX 78245-4602

Mailing address

11339 Camp Creek TRL
San Antonio, TX 78245-4602

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250117001037 TX Practitioner - Certified Nurse Midwife (CNM) 4082142179 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Jan 1, 2025 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jan 1, 2025 Accepting new patients
VHS San Antonio Partners LLC Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

7940 Floyd Curl Dr
Ste 900
San Antonio, TX 78229
Phone (210) 614-1000

3011 W Loop 1604 N
Ste 201
San Antonio, TX 78251

3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081

Interoperability endpoints

  • Direct secure messaging: jessica.jimenez-wilson.1@1438.direct.athenahealth.com

Organizations & group practices 4

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": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1124840475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11339 CAMP CREEK TRL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782454602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11339 CAMP CREEK TRL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782454602",
            "telephone_number": "210-831-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ-WILSON",
        "first_name": "JESSICA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.