JESSICA RAE GALLEGOS CPNP-AC
NPI 1699289892
Nurse Practitioner - Pediatrics, Critical Care in San Antonio, TX

Q: What is Jessica Gallegos's NPI number?

The NPI number for Jessica Gallegos is 1699289892. It was assigned to this individual provider in the NPPES registry on November 27, 2017.

Q: What is Jessica Gallegos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Gallegos was last updated on June 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 27, 2017PECOS Enrolled

333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-2011 Get Directions Write a Review

NPPES record last updated: June 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2021, Nov 27, 2017 (2 updates tracked since 2017).

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About Jessica Rae Gallegos Cpnp-ac NPPES

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

JESSICA RAE GALLEGOS CPNP-AC (NPI 1699289892) is an individual pediatrics, critical care provider in San Antonio, Texas, licensed in Texas (AP135893) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1699289892

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameJESSICA RAE GALLEGOSCredential: CPNP-AC

Location Address333 N SANTA ROSASan Antonio, TX 78207-3108

Mailing Address315 N San Saba Ste 1135San Antonio, TX 78207-3255 · (210) 704-3030

Phone(210) 704-2011

Sole ProprietorNo

Enumeration DateNovember 27, 2017

Last NPPES UpdateJune 26, 20222 updates tracked since enumeration

NPPES CertifiedJune 26, 2022

✔ NPI 1699289892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

Licenses✔ Licensed in TX · AP135893✔ Licensed in TX · 827370

333 N SANTA ROSA, San Antonio, TX 78207

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Secondary Practice Location 1

Location 16701 Fannin StHouston, TX 77030-2608 · Phone (832) 824-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Rae Gallegos Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 78207 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.

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Other Providers at the Same Location NPPES 20

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

LATHA PRASANNAN MD

Pediatrics (Pediatric Hematology-Oncology)