Active NPI
Jesus Rebolledo
- Nurse Practitioner
- Los Fresnos, TX
National Provider Identifier
1467327007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1214668
- Practice address
- 31047 State Highway 100
Los Fresnos, TX 78566-4240 - Phone
- (956) 372-5529
- NPI assigned
- Oct 6, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1214668 | TX | Primary |
Addresses
Primary practice location
31047 State Highway 100
Los Fresnos, TX 78566-4240
Mailing address
32316 State Highway 100
Los Fresnos, TX 78566-4329
Phone (956) 372-5529
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1214668 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W2Ez PLLC Dba Medcare Occupational Helath | Current | Accepting new patients |
Locations
31047 State Highway 100
Los Fresnos, TX 78566
Phone (956) 372-5529
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.
-
- Occupational Medicine Clinic/Center
- Los Fresnos, TX
- NPI 1417822073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1467327007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32316 STATE HIGHWAY 100",
"city": "LOS FRESNOS",
"state": "TX",
"postal_code": "785664329",
"telephone_number": "956-372-5529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31047 STATE HIGHWAY 100",
"city": "LOS FRESNOS",
"state": "TX",
"postal_code": "785664240",
"telephone_number": "956-372-5529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBOLLEDO",
"first_name": "JESUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-06",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1214668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Fresnos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.