Macalah Cortnee Jenschke

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1099296 Issued in TX

Practice address

1331 Bandera Hwy Ste 10
Kerrville, TX 78028-9535

Phone

(830) 257-1440

NPI assigned

Nov 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Kerrville Pediatrics

  • Pediatric Clinical Nurse Specialist
  • Kerrville, TX
  • NPI 1114292968
  NPD (past)
• Michael S. Fontenot, M.D., P.a.

  • Pediatrics Physician
  • Kerrville, TX
  • NPI 1700101011
  NPD (past)

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1629787551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 KICKAPOO DR",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786246453",
            "telephone_number": "830-998-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 BANDERA HWY STE 10",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780289535",
            "telephone_number": "830-257-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSCHKE",
        "first_name": "MACALAH",
        "middle_name": "CORTNEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1099296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Nicole Jackson
• Ronald Evans Jackson, D.C.
• Jennifer A Jaeger, LPC
• Deborah A. Jalbert, P.A.
• Jeanette L Masek MD PLLC
• Sarah Ruth Jerome, APRN
• Valeria Jimenez
• John W Davis
• Johnson Slaughter TC LLC
• Ashley M. Johnson, CNM

• Pediatric Nurse Practitioner in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.