Individual provider Active NPI

Jesse Frank Delacruz

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1699121871
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
723445 Issued in TX
Practice address
21103 Simi Valley Drive
San Antonio, TX 78259
Phone
(361) 331-3940
NPI assigned
May 6, 2016
Last updated
May 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 723445 TX Primary

Addresses

Primary practice location

21103 Simi Valley Drive
San Antonio, TX 78259

Mailing address

21103 Simi Valley Drive
San Antonio, TX 78259
Phone (361) 331-3940

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
I20160802001327 TX Practitioner - Nurse Practitioner 9133413941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Carenow Urgent Care PLLCGroup PAC ID 3274808043, 71 clinicians

Practice addresses (Care Compare)

1347 E Court St
Seguin, TX 78155-5130
Phone (830) 443-9778

160 Creekside Way
Suite 602
New Braunfels, TX 78130-6439
Phone (830) 387-5330

20210 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-7029
Phone (210) 481-9804

20780 US Hwy 281 N
Carenow
San Antonio, TX 78258-7501
Phone (210) 963-8455

902 Kitty Hawk Rd
Suite 110
Universal City, TX 78148-3827
Phone (210) 659-0889

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
723445TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Carenow Urgent Care PLLC CurrentSince Nov 13, 2023 Accepting new patients
St. David's Carenow Urgent Care PLLC CurrentSince Oct 25, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3311 N Lamar Blvd
Austin, TX 78705
Phone (512) 975-7791

5033 W Highway 290
Austin, TX 78735
Phone (512) 265-8980

717 Highway 71 W
Ste 500
Bastrop, TX 78602
Phone (512) 332-2273

5001 183A Toll Rd
Ste R100
Cedar Park, TX 78613
Phone (512) 595-7000

115 Angeles Dr
Ste 103
San Antonio, TX 78201
Phone (210) 664-0962

20780 US Highway 281 N
San Antonio, TX 78258
Phone (210) 963-8445

155 Wonder World Dr
San Marcos, TX 78666
Phone (512) 738-8334

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, 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": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1699121871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21103 SIMI VALLEY DRIVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78259",
            "telephone_number": "361-331-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21103 SIMI VALLEY DRIVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78259",
            "telephone_number": "361-331-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "JESSE",
        "middle_name": "FRANK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "723445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.