Individual provider Active NPI

Jessica Nielsen

  • Surgical Assistant
  • San Antonio, TX
National Provider Identifier
1447126644
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
161690 Issued in TX
Practice address
7914 Martinelli
San Antonio, TX 78253-5042
Phone
(843) 441-2077
NPI assigned
Oct 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 161690 TX Primary

Addresses

Primary practice location

7914 Martinelli
San Antonio, TX 78253-5042

Mailing address

9110 N Loop 1604 W Ste 104
PMB 3004
San Antonio, TX 78249-3397
Phone (843) 441-2077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
161690TXMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ezer Surgical Assisting LLC Surgical Assistant CurrentSince Nov 18, 2025 Accepting new patients

Locations

9110 N Loop 1604 W
Ste 104
San Antonio, TX 78249
Phone (210) 596-9068

Organizations & group practices 1

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": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1447126644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 N LOOP 1604 W STE 104",
            "address_2": "PMB 3004",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493397",
            "telephone_number": "843-441-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7914 MARTINELLI",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535042",
            "telephone_number": "843-441-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "161690",
            "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 Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.