Individual provider Active NPI

Jon Frederick Flores, A-GNP-C

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1649977133
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1109836 Issued in TX
Practice address
9510 Swans Xing
San Antonio, TX 78250-2746
Phone
(210) 630-9164
NPI assigned
Feb 14, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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 1109836 TX Primary

Addresses

Primary practice location

9510 Swans Xing
San Antonio, TX 78250-2746

Mailing address

9510 Swans Xing
San Antonio, TX 78250-2746
Phone (210) 630-9164

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
I20230414001926 TX Practitioner - Nurse Practitioner 6103291695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panther Inpatient Care PLLCGroup PAC ID 6901080183, 14 clinicians

Practice addresses (Care Compare)

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2900

2119 Domal LN
San Antonio, TX 78230-0942
Phone (210) 630-9164

Hospital & facility affiliations

  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1109836TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Panther Inpatient Care PLLC CurrentSince Dec 2, 2022 Accepting new patients
Flores Solutions LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1649977133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 SWANS XING",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782502746",
            "telephone_number": "210-630-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 SWANS XING",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782502746",
            "telephone_number": "210-630-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JON",
        "middle_name": "FREDERICK",
        "credential": "A-GNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1109836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.