Active NPI
Jenna Macik
- Physician Assistant
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 215 E Quincy St
Suite 500
San Antonio, TX 78215-2039 - Phone
- (210) 223-1600
- Fax
- (210) 271-3434
- NPI assigned
- Oct 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TX | Primary |
Addresses
Primary practice location
215 E Quincy St
Suite 500
San Antonio, TX 78215-2039
Mailing address
2961 Mossrock
San Antonio, TX 78230-5119
Phone (210) 731-4800
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
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1101 Wolf Lake Dr
Georgetown, TX 78628-3778
301 Seton Pkwy
Round Rock, TX 78665-8003
6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients |
Locations
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613
1101 Wolf Lake Dr
Ste 125
Georgetown, TX 78628
Phone (512) 324-4332
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
201 University Oaks Blvd
Ste 1260
Round Rock, TX 78665
Phone (512) 324-4780
Interoperability endpoints
- jenna.macik.1@8363.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
dba Ascension Texas Imaging
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1437529443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2961 MOSSROCK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305119",
"telephone_number": "210-731-4800",
"fax_number": "210-731-4810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E QUINCY ST",
"address_2": "SUITE 500",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782152039",
"telephone_number": "210-223-1600",
"fax_number": "210-271-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACIK",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-02",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"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 Oct 2, 2015; 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.