Individual provider Active NPI

Jennifer B Hessock, PNP

  • Pediatric Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1700118916
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP138909 Issued in TX
Practice address
94 Briggs St Ste 400
San Antonio, TX 78224-1206
Phone
(325) 696-4750
Fax
(325) 696-5431
NPI assigned
Feb 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN9277768 FL
Pediatric Nurse Practitioner 363LP0200X AP138909 TX Primary

Addresses

Primary practice location

94 Briggs St Ste 400
San Antonio, TX 78224-1206

Mailing address

94 Briggs St Ste 400
San Antonio, TX 78224-1206
Phone (726) 567-6571

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
I20220608000330 TX Practitioner - Nurse Practitioner 6204017874 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9277768FLMDPediatric Nurse Practitioner
AP138909TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro del Barrio, Inc. CurrentSince Jul 1, 2022 Accepting new patients
El Centro del Barrio, Inc. CurrentSince Jul 1, 2022 Accepting new patients
El Centro del Barrio, Inc. Past Accepting new patients

Locations

94 Briggs St
Ste 400
San Antonio, TX 78224
Phone (210) 576-0533

6315 S Zarzamora St
San Antonio, TX 78211
Phone (210) 924-9254

3750 Commercial Ave
San Antonio, TX 78221
Phone (210) 334-3700

Interoperability endpoints

  • Direct secure messaging: jennifer.hessock.p1@direct.centromed.nextgenshare.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": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1700118916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BRIGGS ST STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241206",
            "telephone_number": "726-567-6571",
            "fax_number": "210-457-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BRIGGS ST STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241206",
            "telephone_number": "325-696-4750",
            "fax_number": "325-696-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSOCK",
        "first_name": "JENNIFER",
        "middle_name": "B",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2023-05-11",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "RN9277768",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP138909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.