Jerry Edward Fuentes, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1146979 Issued in TX

Practice address

910 E 8TH St Ste 3
Weslaco, TX 78596-4675

Phone

(956) 969-1313

NPI assigned

Jan 9, 2024

Last updated

Oct 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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, 2023

Medicare assignment

May accept Medicare assignment

Group practices

RGV Wound Care Hyperbaricmedicine and Lymphedema Management Group PLLCGroup PAC ID 2365854130, 12 clinicians

Jose D Bejarano MD PAGroup PAC ID 2860656287, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14503/brand/1/csg/22/fhir/r4
• Direct secure messaging: jerry.fuentes.1@14503.direct.athenahealth.com

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.

• Jose D Bejarano MD PA

  • Internal Medicine Physician
  • Weslaco, TX
  • NPI 1225300866
  Medicare reassignment Care Compare group NPD
• RGV Wound Care Hyperbaricmedicine and Lymphedema Management Group PLLC

  dba RGV Wound Care Group

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • McAllen, TX
  • NPI 1164028155
  Medicare reassignment Care Compare group NPD
• Fuentes Family Practice, PLLC

  • Health Service Clinic/Center
  • McAllen, TX
  • NPI 1457298705
  NPD Authorized official
• Gholam a. Kiani M.D.,P.a.

  • Obstetrics & Gynecology Physician
  • McAllen, TX
  • NPI 1679985931
  NPD
• Olga L Gomez MD PA Childrens Clinic

  • Pediatrics Physician
  • Weslaco, TX
  • NPI 1285932418
  NPD

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1942071089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 DAFFODIL AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016138",
            "telephone_number": "956-624-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E 8TH ST STE 3",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964675",
            "telephone_number": "956-969-1313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Savannah Ave Ste 8",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785031728",
            "country_code": "US",
            "telephone_number": "956-731-4014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "JERRY",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1146979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friends Health Care Services, Inc.
• Kristen Nicole Friesen, CNM
• Frontier Direct Care Weslaco
• Destiny Frye Pineda, LCSW
• Alejandro Fuentes, M.D.
• Lorraine Fuentes
• Maria V Fuentes, FNP-BC
• Melecia Fuentes, M.D.
• Functional Gainz Therapy Center LLC (Rio Grande Therapeutic Institute)
• Maria Josefina Galaviz

• Family Nurse Practitioner in Weslaco, TX
• Providers in Weslaco, 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 Oct 4, 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.