Individual provider Active NPI

Penne Lyn Jaster, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1700061892
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP111854 Issued in TX
Practice address
3234 Northwestern
San Antonio, TX 78238-4043
Phone
(210) 543-7200
Fax
(210) 647-9825
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP111854 TX Primary
Family Nurse Practitioner 363LF0000X 647383 TX

Addresses

Primary practice location

3234 Northwestern
San Antonio, TX 78238-4043

Mailing address

PO Box 681923
San Antonio, TX 78268-1923
Phone (210) 543-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
78.01
Improvement activities
40
Cost
79.8

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Life Choices Medical Clinic CurrentSince Apr 20, 2025 Accepting new patients
Life Choices Medical Clinic Family CurrentSince Oct 9, 2022 Accepting new patients
Adobe Creek Family Medical Clinic, PA Past Accepting new patients

Locations

700 S Zarzamora St
Lowr
San Antonio, TX 78207
Phone (210) 543-7200

3234 Northwestern
San Antonio, TX 78238
Phone (210) 543-7200

Interoperability endpoints

  • Direct secure messaging: althea.richardson.1@16198.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16198/brand/1/csg/1/fhir/r4
  • Direct secure messaging: penne.jaster.1@16198.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1700061892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681923",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782681923",
            "telephone_number": "210-543-7200",
            "fax_number": "210-829-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 NORTHWESTERN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384043",
            "telephone_number": "210-543-7200",
            "fax_number": "210-647-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASTER",
        "first_name": "PENNE",
        "middle_name": "LYN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP111854",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "647383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.