Individual provider Active NPI

Jazmine Carrillo, CNP

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1821720277
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1005538 Issued in TX
Practice address
10431 Highway 151 Ste 180
San Antonio, TX 78251-4551
Phone
(210) 521-7333
Fax
(210) 679-3735
NPI assigned
Jun 25, 2022
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1005538 TX Primary

Addresses

Primary practice location

10431 Highway 151 Ste 180
San Antonio, TX 78251-4551

Mailing address

7909 Fredericksburg Rd Ste 110
San Antonio, TX 78229-3400

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
I20230421000112 TX Practitioner - Nurse Practitioner 8820478530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology San Antonio P aGroup PAC ID 3274429311, 42 clinicians

Practice addresses (Care Compare)

10431 State Hwy 151
San Antonio, TX 78251-4551
Phone (210) 582-5505

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (682) 509-6200

5001 S Cooper St
Suite 201
Arlington, TX 76017-5993

7909 Fredericksburg Rd
San Antonio, TX 78229-3400
Phone (210) 614-4544

945 Hilltop Dr
Suite 100
Weatherford, TX 76086-5892
Phone (866) 367-8768

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1005538TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology San Antonio PA CurrentSince Mar 20, 2023 Accepting new patients
Urology San Antonio P a CurrentSince Mar 20, 2023 Accepting new patients
Urology Partners of North Texas, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Urology Partners of North Texas, PLLC Past Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

5001 S Cooper St
Ste 201
Arlington, TX 76017

10431 State Highway 151
San Antonio, TX 78251
Phone (210) 450-6440

2003 Rogers Rd
Ste 106
San Antonio, TX 78251
Phone (210) 375-5000

3327 Research Plz
Ste 403
San Antonio, TX 78235
Phone (210) 337-6228

7909 Fredericksburg Rd
Ste 110
San Antonio, TX 78229
Phone (210) 614-9603

7909 Fredericksburg Rd
Ste 233
San Antonio, TX 78229
Phone (210) 521-7700

945 Hilltop Dr
Ste 100
Weatherford, TX 76086
Phone (817) 550-6332

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/18f5d65c-83f0-435a-868c-70ce5a6de90a/

Organizations & group practices 4

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": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1821720277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 FREDERICKSBURG RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 HIGHWAY 151 STE 180",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514551",
            "telephone_number": "210-521-7333",
            "fax_number": "210-679-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "JAZMINE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-25",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1005538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.