Jennifer Pulido Stice, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP125868 Issued in TX

Practice address

13725 Northwest Blvd
Ste 120
Corpus Christi, TX 78410-5127

Phone

(361) 387-9413

Fax

(361) 387-9616

NPI assigned

Jul 23, 2014

Last updated

Aug 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.pulido@wellmed.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  Medicare reassignment Care Compare group NPD
• Wellmed Medical Group, P.a.

  dba WellMed Doctor's Hospital Senior Clinic

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1740588243
  NPD
• Wellmed Medical Group, P.a.

  dba WellMed at Telshor

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1659679157
  NPD

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1386052397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13725 NORTHWEST BLVD",
            "address_2": "STE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105124",
            "telephone_number": "361-387-9413",
            "fax_number": "361-387-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13725 NORTHWEST BLVD",
            "address_2": "STE 120",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105127",
            "telephone_number": "361-387-9413",
            "fax_number": "361-387-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICE",
        "first_name": "JENNIFER",
        "middle_name": "PULIDO",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "361608YLPS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338049501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathryn Stevens
• John Steward Jr.
• Kera S Steward, FNP
• Deborah Stewart, LPC
• Elda (Ida) K Stewart, COTA
• Daniel Fredrick Stiefel
• Riley Stine, SLP
• Angela Marie Stith, FNP
• William Joseph Stith Jr., DO
• Nicole Alyse Stockton, LSA

• Family Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.