Jacob Daniel Ethridge, PA
Physician Assistant · San Antonio, TX
Jacob Daniel Ethridge, PA is a physician assistant with a practice address in San Antonio, Texas, and NPI 1104301852, issued on Sep 28, 2018. Check the license (Texas PA12348, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacob Daniel Ethridge
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- PA12348 TX
TEMPORARY TX
Self-reported in NPPES; status is on the state search - Practice location
- 1150 N Loop 1604 W Ste 150, San Antonio, TX 78248
- Phone
- (281) 783-8162
- Enumerated
- Sep 28, 2018
- Record last updated
- Jun 29, 2022
- Fax
- (713) 439-7995
- Medicare enrollment
- Enrolled (PECOS I20200303001216); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 10,999 in Texas → Look up another NPI →
Also registered at 1150 N Loop 1604 W Ste 150
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Brandon King, RN, FNP-CNurse Practitioner1326301946
- Stefanie Laue, NPNurse Practitioner1811460330
- Luis MoncadaPhysician Assistant1104436617
Verify Jacob Daniel Ethridge in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this profession
Search for license PA12348Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $17.02
1 payment: food and beverage; the largest payer was Pfizer Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Nluc PLLCSan Antonio, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacob Daniel Ethridge among 10,999 physician assistant records in Texas
Jacob Daniel Ethridge, PA is one of 10,999 physician assistant records with a practice address in Texas. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 55% of them.
- NPI issued2018 · 55% of these records are older, 40% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 55% of these records are
- Graduated2018 · median 2017 among the 6,096 with a school on file
- Record last updated2022 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
873 physician assistant records list a practice address in San Antonio
They are 873 of the 37,749 NPPES records with a practice address in San Antonio, and 10,999 physician assistant records in Texas.
All 10,999 in Texas → Every provider in San Antonio → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Una Childers, PA-CSan Antonio, TX 782481689922353
- Hailey De Leon, PA-CSan Antonio, TX 782481770958027
- Scott Duhaime, PA-CSan Antonio, TX 782481386720951
- Sarah HaleySan Antonio, TX 782481144057373
- Clay Istre, PA-CSan Antonio, TX 782481811214521
- Katherine McAllister, PA-CSan Antonio, TX 782481093262875
- Luis MoncadaSan Antonio, TX 782481104436617
- Alexandra Naschke, PA-CSan Antonio, TX 782481194183418
Common questions
What is Jacob Daniel Ethridge, PA's NPI number?
Jacob Daniel Ethridge, PA's National Provider Identifier (NPI) is 1104301852, issued on Sep 28, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Jacob Daniel Ethridge, PA located?
The NPPES record lists a practice address at 1150 N Loop 1604 W Ste 150, San Antonio, TX, 78248. Phone: (281) 783-8162. Providers update this record themselves, so call before visiting.
How can I verify Jacob Daniel Ethridge, PA's license?
NPPES lists Texas license number PA12348, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.