Individual provider Active NPI

Jerome Sixbert Nataki, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1285146191
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135457 Issued in TX
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

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171214000167 TX Practitioner - Nurse Practitioner 7012275399 Reassigns benefits to 3 organizations

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
Inpatient Progressive Health of America, PLLCGroup PAC ID 5698072320, 72 clinicians
Brett Helmonds DO PLLCGroup PAC ID 9335536879, 8 clinicians

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 Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP13547TXMDNurse Practitioner
AP135457TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brett Helmonds DO PLLC CurrentSince Aug 1, 2024 Accepting new patients
Inpatient Progressive Health of America, PLLC CurrentSince Feb 5, 2019 Accepting new patients
Laredo Pain Consultants, Inc. CurrentSince Nov 20, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.