Individual provider Active NPI

Jennifer Salazar, PA-C

  • Physician Assistant
  • Katy, TX
National Provider Identifier
1558732057
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2023 N Mason Rd Ste 204
Katy, TX 77449-3779
Phone
(281) 394-0370
Fax
(281) 206-7474
NPI assigned
Oct 9, 2015
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2023 N Mason Rd Ste 204
Katy, TX 77449-3779

Mailing address

5003 Harvest Knoll Dr
Spring, TX 77389-1643
Phone (281) 635-1759

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108000608 TX Practitioner - Physician Assistant 5395047229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Practice addresses (Care Compare)

11106 Christus HLS
San Antonio, TX 78251-3584
Phone (210) 672-6190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Applebaum Physiatry PLLC Physician Assistant CurrentSince Sep 14, 2025 Accepting new patients
MHS Physicians of Texas Past Accepting new patients

Locations

11106 Christus Hls
San Antonio, TX 78251
Phone (210) 240-8241

19638 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 402-5750

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1558732057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 HARVEST KNOLL DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891643",
            "telephone_number": "281-635-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 N MASON RD STE 204",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774493779",
            "telephone_number": "281-394-0370",
            "fax_number": "281-206-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.