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JENNA M ORTIZ
NPI 1104718469
Nurse Practitioner in Live Oak, TX

Active since July 18, 2025PECOS EnrolledAccepts Medicare Assignment
12500 JUDSON RD STE 300, LIVE OAK, TX 78233(210) 967-0096(210) 967-0383 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2026, Jan 16, 2026, Oct 10, 2025 (3 updates tracked since 2025).

About Jenna M Ortiz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA M ORTIZ (NPI 1104718469) is an individual nurse practitioner in Live Oak, Texas, licensed in Texas (1215373) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104718469
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNA M ORTIZ
Location Address12500 JUDSON RD STE 300Live Oak, TX 78233-4146
Mailing Address12500 Judson Rd Ste 300Live Oak, TX 78233-4146 · (210) 643-6807
Phone(210) 967-0096
Fax(210) 967-0383
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 18, 2025
Last NPPES UpdateApril 23, 20263 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1104718469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1215373
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1215373 (TX)
12500 JUDSON RD STE 300, Live Oak, TX 78233
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Secondary Practice Location 1

Location 111212 State Highway 151 Ste 100San Antonio, TX 78251-4500 · Phone (210) 703-8925

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jenna M Ortiz is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830681410
PECOS Enrollment IDI20251121000117
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALAREE CARNEY MSN, APRN, FNP-C
Nurse Practitioner
12500 JUDSON RD STE 300
LIVE OAK, TX 78233
Bexar County (210) 473-0246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Ortiz's NPI number?

The NPI number for Jenna Ortiz is 1104718469. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Jenna Ortiz located?

Jenna Ortiz practices at 12500 Judson Rd Ste 300, Live Oak, TX 78233. The listed phone number is (210) 967-0096.

What is Jenna Ortiz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jenna Ortiz enrolled in Medicare?

Yes. Jenna Ortiz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jenna Ortiz was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.