Individual provider Active NPI

Jesus Rebolledo

  • Nurse Practitioner
  • Los Fresnos, TX
National Provider Identifier
1467327007
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1214668 Issued in TX
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

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1214668TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
W2Ez PLLC Dba Medcare Occupational Helath CurrentSince Oct 12, 2025 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.

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.

Verify at the official NPI Registry.