Individual provider Active NPI

Amber Renee Hoberg, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1003122532
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
708221 Issued in TX
Practice address
7622 Louis Pasteur Dr
Ste 100
San Antonio, TX 78229-4037
Phone
(210) 614-7840
Fax
(210) 562-2252
NPI assigned
Aug 21, 2010
Last updated
Jul 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10024421 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 708221 TX Primary

Addresses

Primary practice location

7622 Louis Pasteur Dr
Ste 100
San Antonio, TX 78229-4037

Mailing address

17703 Lamberhurst
San Antonio, TX 78257-5120
Phone (210) 478-0562

Other practice location 1

535 SE Washington St.
Hillsboro, OR 97123-4037
Phone (503) 755-6703

Other practice location 2

395 SW Bluff Dr Ste 10
Bend, OR 97702-1670
Phone (503) 755-6703

Other identifiers 1

IdentifierTypeStateIssuer
TXB157850OtherTXWELLMED NETWORKS INC

Other names 1

  • Ms. Amber Renee Koepp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101214000478 TX Practitioner - Nurse Practitioner 9638366883 Reassigns benefits to 4 organizations
Practice locations: San Antonio, TX
I20241016001496 OR Practitioner - Nurse Practitioner 9638366883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical School at San Antonio, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McArthur Gruff and Associates LLCGroup PAC ID 9032537329, 17 clinicians
Morning Star Family Medicine PLLCGroup PAC ID 7517389174, 3 clinicians
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

535 SE Washington St
Hillsboro, OR 97123-4142
Phone (503) 755-6703

5710 Hwy 181 N
Floresville, TX 78114-6220
Phone (830) 391-0877

8811 Village Dr
San Antonio, TX 78217-5415
Phone (210) 297-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
708221TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Jan 12, 2022 Accepting new patients
A&a Psych Services LLC Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jan 12, 2022 Accepting new patients
Morning Star Family Medicine PLLC Psychiatric/Mental Health CurrentSince Jul 1, 2020 Accepting new patients
McArthur Gruff & Associates LLC Psychiatric/Mental Health CurrentSince Sep 1, 2024 Accepting new patients
CCN Medical Services LLC Past Accepting new patients

Locations

1846 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 329-2699

7426 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 771-0555

395 SW Bluff Dr
Ste 10
Bend, OR 97702
Phone (503) 755-6703

535 SE Washington St
Hillsboro, OR 97123
Phone (503) 755-6703

90 Eagle Creek Ranch Blvd
Floresville, TX 78114
Phone (830) 391-0877

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

311 Camden St
Ste 510
San Antonio, TX 78215
Phone (210) 591-1615

3512 Paesanos Pkwy
Ste 203
San Antonio, TX 78231
Phone (210) 780-7595

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIFICD/Endpoint/BIFICD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1282348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1003122532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17703 LAMBERHURST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782575120",
            "telephone_number": "210-478-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7622 LOUIS PASTEUR DR",
            "address_2": "STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294037",
            "telephone_number": "210-614-7840",
            "fax_number": "210-562-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 SE Washington St.",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234037",
            "country_code": "US",
            "telephone_number": "503-755-6703",
            "fax_number": "503-755-6704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 SW Bluff Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977021670",
            "country_code": "US",
            "telephone_number": "503-755-6703",
            "fax_number": "503-755-6704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOBERG",
        "first_name": "AMBER",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-21",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10024421",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "708221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED NETWORKS INC",
            "identifier": "TXB157850",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "KOEPP",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.