Active NPI
Jerome Sixbert Nataki, FAMILY NURSE PRACTIT
- Family Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP135457
- Practice address
- 323 Knights Cross Dr
San Antonio, TX 78258-4886 - Phone
- (210) 488-2150
- NPI assigned
- Nov 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP13547 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP135457 | TX | Primary |
Addresses
Primary practice location
323 Knights Cross Dr
San Antonio, TX 78258-4886
Mailing address
323 Knights Cross Dr
San Antonio, TX 78258-4886
Phone (210) 488-2150
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16620 N US Hwy 281
Suite 300
San Antonio, TX 78232-2679
16620 San Pedro Ave
Suite 300
San Antonio, TX 78232-2679
Phone (210) 871-4701
6018 Bantry Bay
San Antonio, TX 78240-5720
Phone (408) 839-5887
Hospital & facility affiliations
- Methodist Hospital
- Methodist Hospital Stone Oak
- Baptist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP13547 | TX | MD | Nurse Practitioner |
| AP135457 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brett Helmonds DO PLLC | Current | Accepting new patients | |
| Inpatient Progressive Health of America, PLLC | Current | Accepting new patients | |
| Laredo Pain Consultants, Inc. | Current | Accepting new patients |
Locations
6801 McPherson Rd
Ste 334
Laredo, TX 78041
Phone (956) 631-2957
8902 Floyd Curl Dr
San Antonio, TX 78240
Phone (210) 575-8003
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
16620 San Pedro Ave
Ste 300
San Antonio, TX 78232
Phone (210) 614-1231
Interoperability endpoints
- jerome.nataki.1@16929.direct.athenahealth.com
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.
-
- Physical Medicine & Rehabilitation Physician
- San Antonio, TX
- NPI 1093465882
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1417321076
-
- Pain Medicine (Anesthesiology) Physician
- Laredo, TX
- NPI 1265723837
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1285146191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 KNIGHTS CROSS DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584886",
"telephone_number": "210-488-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 KNIGHTS CROSS DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584886",
"telephone_number": "210-488-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATAKI",
"first_name": "JEROME",
"middle_name": "SIXBERT",
"credential": "FAMILY NURSE PRACTIT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-01",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP13547",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP135457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.