Individual provider Active NPI

Jenelle M. Hughes

  • Family Nurse Practitioner
  • Fort Sam Houston, TX
National Provider Identifier
1235100934
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SNP 100045 Issued in CO
Practice address
3351 Roger Brooke Drive
Fort Sam Houston, TX 78234
Phone
(210) 539-9582
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ANP100045 CO
Family Nurse Practitioner 363LF0000X 759577 TX
Family Nurse Practitioner 363LF0000X SNP 100045 CO Primary

Addresses

Primary practice location

3351 Roger Brooke Drive
Fort Sam Houston, TX 78234

Mailing address

3351 Roger Brooke Drive
Fort Sam Houston, TX 78234
Phone (210) 539-9582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090203000066 TX Practitioner - Nurse Practitioner 6103841168 Reassigns benefits to 1 organization
I20111116000178 CO Practitioner - Nurse Practitioner 6103841168 Reassigns benefits to 1 organization

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
Puentes Medical Consultants PLLCGroup PAC ID 5294160685, 3 clinicians

Practice addresses (Care Compare)

1846 N Loop 1604
Suite 205
San Antonio, TX 78248-4541
Phone (210) 693-5119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ANP100045COMDNurse Practitioner
SNP 100045COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anywhere Clinic LLC CurrentSince Mar 1, 2025 Accepting new patients
Puentes Medical Consultants LLC CurrentSince May 1, 2025 Accepting new patients
Puentes Medical Consultants PLLC Nurse Practitioner CurrentSince May 1, 2025 Accepting new patients
C H Wilkinson Physician Network Past Accepting new patients

Locations

7373 W Jefferson Ave
Ste 301
Lakewood, CO 80235
Phone (303) 988-7299

4029 Dean Martin Dr
Las Vegas, NV 89103
Phone (702) 919-1508

1164 Commerce Dr
Richardson, TX 75081
Phone (210) 693-5119

1846 N Loop 1604 W
Ste 205
San Antonio, TX 78248
Phone (210) 265-5422

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1235100934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 ROGER BROOKE DRIVE",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "210-539-9582",
            "fax_number": "210-539-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 ROGER BROOKE DRIVE",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "210-539-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JENELLE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "ANP100045",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "759577",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "SNP 100045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.