Individual provider Active NPI

Jessica Camille Sanders, F.N.P.

  • Family Nurse Practitioner
  • San Marcos, TX
National Provider Identifier
1154447852
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
651023 Issued in TX
Practice address
1340 Wonder World Dr Ste 4301
San Marcos, TX 78666-7695
Phone
(512) 353-6400
Fax
(512) 353-3039
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 651023 TX Primary

Addresses

Primary practice location

1340 Wonder World Dr Ste 4301
San Marcos, TX 78666-7695

Mailing address

1340 Wonder World Dr Ste 4301
San Marcos, TX 78666-7695
Phone (512) 353-6400

Other identifiers 3

IdentifierTypeStateIssuer
P01594328OtherRR MEDICARE
148010508MedicaidTX
273820YMG2OtherMEDICARE

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
I20050725000179 TX Practitioner - Nurse Practitioner 1557398377 Reassigns benefits to 3 organizations
Practice locations: Seguin, TX; New Braunfels, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1340 Wonder World Dr
4301 Lohp Specialty Care San Marcos
San Marcos, TX 78666-7695
Phone (512) 353-6400

201 FM
Wimberley, TX 78676-2119

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
651023TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Aug 17, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 17, 2021 Accepting new patients
Hpa Medical Management, LLC CurrentSince Aug 28, 2023 Accepting new patients
Longhorn Emergency Medical Associates PA CurrentSince Jan 19, 2018 Accepting new patients
Hpa Medical Management, LLC CurrentSince Aug 28, 2023 Accepting new patients
Brooks M Mullen, MD PA Past Accepting new patients
Serenity Obstetrics Past Accepting new patients
Live Oak Family Health, P.a. PastSince Dec 29, 2012 Accepting new patients
Wellmed Medical Group, PA Past Accepting new patients
St. David'S Carenow Urgent Care PLLC PastSince Oct 18, 2019 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Texas Ear, Nose & Throat Specialists, PLLC PastSince Dec 1, 2014 Accepting new patients

Locations

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

6303 Cowboys Way
Ste 600
Frisco, TX 75034

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

1445 Hanz Dr
New Braunfels, TX 78130
Phone (516) 902-3790

3201 Cherry Ridge Dr
Ste C313
San Antonio, TX 78230
Phone (210) 444-2244

1340 Wonder World Dr
Ste 4301
San Marcos, TX 78666
Phone (512) 353-6400

1340 Wonder World Dr
Ste 2300
San Marcos, TX 78666
Phone (512) 353-6400

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: jsanders254317@christushealth.direct-ci.net

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1154447852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DR STE 4301",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667695",
            "telephone_number": "512-353-6400",
            "fax_number": "512-353-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DR STE 4301",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667695",
            "telephone_number": "512-353-6400",
            "fax_number": "512-353-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JESSICA",
        "middle_name": "CAMILLE",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "651023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01594328",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148010508",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "273820YMG2",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.