JONATHAN BRYCE RUDOLPH
NPI 1346085925
Nurse Practitioner - Psychiatric/Mental Health in New Braunfels, TX

Active since June 26, 2024PECOS EnrolledAccepts Medicare Assignment
705 LANDA ST STE B, NEW BRAUNFELS, TX 78130(210) 360-1590 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2025, Jun 26, 2024 (2 updates tracked since 2024).

About Jonathan Bryce Rudolph NPPES

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

JONATHAN BRYCE RUDOLPH (NPI 1346085925) is an individual psychiatric/mental health provider in New Braunfels, Texas, licensed in Texas (1190388) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1346085925
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJONATHAN BRYCE RUDOLPH
Location Address705 LANDA ST STE BNew Braunfels, TX 78130-6163
Mailing Address705 Landa St Ste BNew Braunfels, TX 78130-6163
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 26, 2024
Last NPPES UpdateFebruary 6, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
NPI 1346085925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TX · 1190388
Also ListedRegistered NurseTaxonomy 163W00000X · License 935768 (TX)
705 LANDA ST STE B, New Braunfels, TX 78130

Accepted Insurance

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

Jonathan Bryce Rudolph 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 ID5799200739
PECOS Enrollment IDI20250422003100
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 78130 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.

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 Jonathan Rudolph's NPI number?

The NPI number for Jonathan Rudolph is 1346085925. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Jonathan Rudolph located?

Jonathan Rudolph practices at 705 Landa St Ste B, New Braunfels, TX 78130. The listed phone number is (210) 360-1590.

What is Jonathan Rudolph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jonathan Rudolph enrolled in Medicare?

Yes. Jonathan Rudolph 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.

What insurance does Jonathan Rudolph accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jonathan Rudolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Rudolph was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.