Individual provider Active NPI

Jessica Marie Montemayor, CPNP

  • Pediatric Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1750037255
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1031070 Issued in TX
Practice address
2316 SE Military Dr
San Antonio, TX 78223-3527
Phone
(210) 817-7004
NPI assigned
Feb 23, 2022
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1031070 TX Primary

Addresses

Primary practice location

2316 SE Military Dr
San Antonio, TX 78223-3527

Mailing address

633 S Saint Marys St Unit 1409
San Antonio, TX 78205-3518
Phone (210) 827-7426

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
I20241119004793 TX Practitioner - Nurse Practitioner 3678008299 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1031070TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hopscotch Health Children's Urgent Care, PLLC CurrentSince Mar 2, 2025 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Jan 28, 2026 Accepting new patients
Hopscotch Health Childrens Primary Care PLLC Pediatrics CurrentSince Oct 1, 2024 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Jan 28, 2026 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Past Accepting new patients

Locations

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

14625 Huebner Rd
San Antonio, TX 78230

2316 SE Military Dr
San Antonio, TX 78223
Phone (210) 817-7004

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

5210 Thousand Oaks Dr
Ste 1203
San Antonio, TX 78233
Phone (210) 233-7250

7108 Bandera Rd
San Antonio, TX 78238
Phone (210) 432-2905

813 Bandera Rd
Ste B
San Antonio, TX 78228
Phone (210) 432-2905

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, 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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1750037255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 S SAINT MARYS ST UNIT 1409",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782053518",
            "telephone_number": "210-827-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 SE MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233527",
            "telephone_number": "210-817-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEMAYOR",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1031070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.