Christine Lyn Lerback, APRN
Individual provider Active NPI Family Nurse Practitioner · Bandera, TX
NPI 1003387184 · NPPES record last updated Dec 16, 2018
Key facts
- NPI
- 1003387184
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP139990 (TX)
- Practice address
- 359 Private Road 1512
Bandera, TX 78003-4727 - Phone
- (316) 207-1331
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Doctors on the Go PLLC
Practice addresses (Care Compare)
10300 Heritage St
Suite 250
San Antonio, TX 78216-3962
Phone (316) 369-0106
Hospital & facility affiliations
- Adventia Healthcare Associates, Inc
- Crest Home Health
- Methodist Healthcare at Home
Merit-based Incentive Payment System (MIPS)
- Final score
- 9.39 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 31.31
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190529002640 | TX | Practitioner - Nurse Practitioner | 3971846296 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP139990 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors on the Go PLLC | Family | Current |
Accepting new patients |
| Generations Health Care, Inc | Past |
Accepting new patients |
Locations
10300 Heritage St
Ste 250
San Antonio, TX 78216
Phone (210) 375-4911
Interoperability endpoints
- nplerback@dotg-tx.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP139990 | TX | Yes |
Addresses
Primary practice location
359 Private Road 1512
Bandera, TX 78003-4727
Mailing address
359 Private Road 1512
Bandera, TX 78003-4727
Phone (316) 207-1331
Other providers in Bandera, TX
- Kinematic Concepts Physical Therapy & Sports Rehab, PLLC
- Krystal Klein
- Rebecca Kneupper
- Brandon James Lang
- Megan Legault
- Angela Leyva
- Julie Lloyd-Atkinson
- Caroline Locke
- Lonestar Sleep Solutions, LLC
- Lullaby Tribe, LLC
All providers in Bandera, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.