Jessica Pantoja, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1182612 Issued in TX

Practice address

101 S Prairie St Ste D
Dayton, TX 77535-0067

Phone

(936) 340-5117

NPI assigned

Oct 1, 2018

Last updated

Dec 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayside Community Hospital Hospital, Anahuac, TX, CCN 451320

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chambers County Public Hospital District No 1

  dba Bayside Community Hospital and Clinic

  • Family Medicine Physician
  • Anahuac, TX
  • NPI 1861542235
  Medicare reassignment NPD
• Chambers County Public Hospital District No. 1

  dba Emory Health and Rehab

  • Skilled Nursing Facility
  • Emory, TX
  • NPI 1770819377
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chambers County Public Hospital District No 1

  dba Bayside Community Hospital

  • Critical Access Hospital
  • Anahuac, TX
  • NPI 1174522494
  Care Compare affiliation

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1821573312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 KORINA WAY",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773065021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S PRAIRIE ST STE D",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775350067",
            "telephone_number": "936-340-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTOJA",
        "first_name": "JESSICA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1182612",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "953347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Genisa Estelle Ogden, PMHNP
• Constance Elizabeth Onemany, D.M.D.
• Keaton Ellis Parr, DDS
• Satiskumar P Patel, M.D. MBCHB
• Paul G. Talosig, DMD, PA (All Star Kids Family Dentistry)
• Elisa Plascencia Avila, COTA
• Allera Porter

• Family Nurse Practitioner in Dayton, TX
• Providers in Dayton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.

Verify at the official NPI Registry.