Active NPI
Kristen H Jardine, PA-C
- Physician Assistant
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA09699
- Practice address
- 1100 Wilford Hall Loop
San Antonio, TX 78236-5638 - Phone
- (210) 029-2741
- NPI assigned
- Sep 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA09699 | TX | Primary |
Addresses
Primary practice location
1100 Wilford Hall Loop
San Antonio, TX 78236-5638
Mailing address
1100 Wilford Hall Loop
San Antonio, TX 78236-5638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110194031A | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 E Sonterra Blvd
San Antonio, TX 78258-3982
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA09699 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Texas PLLC | Current | Accepting new patients | |
| Minuteclinic Diagnostic of Texas PLLC | Physician Assistant | Current | Accepting new patients |
| Minuteclinic Telehealth Services of Texas Association | Current | Accepting new patients | |
| Minuteclinic Primary Care Texas PLLC | Physician Assistant | Current | Accepting new patients |
| Chima Ohaegbulam, MD PC | Past | Accepting new patients |
Locations
1540 E Main St
Allen, TX 75002
Phone (214) 383-9765
5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820
601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161
11661 Preston Rd
Ste 218
Dallas, TX 75230
Phone (214) 363-1571
1003 Richmond Ave
Houston, TX 77006
Phone (713) 807-8491
3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964
5002 W Main St
League City, TX 77573
Phone (281) 557-4374
1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001
9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151
1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268
1301 N Saginaw Blvd
Saginaw, TX 76179
Phone (817) 676-4362
5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311
120 E Sonterra Blvd
San Antonio, TX 78258
Phone 2104049006 ext. 76875
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://api.platform.athenahealth.com/18109/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Family Nurse Practitioner
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- NPI 1609076330
Physician Assistant
-
- Family Nurse Practitioner
- Spring, TX
- NPI 1710794292
Physician Assistant
-
- Family Nurse Practitioner
- Round Rock, TX
- NPI 1922564301
-
- Clinical Social Worker
- Katy, TX
- NPI 1740898188
-
- Neurological Surgery Physician
- Roxbury Crossing, MA
- NPI 1184612731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1740514595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782365638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782365638",
"telephone_number": "210-029-2741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARDINE",
"first_name": "KRISTEN",
"middle_name": "H",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-28",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA09699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110194031A",
"state": "MA"
}
],
"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 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.