NPIMap

Organization Active NPI

South Texas Nurse Practitioner Services, PLLC

Doing business as Innovative Primary Care

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1013383801
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SOUTH TEXAS NURSE PRACTITIONER SERVICES, PLLC
Doing business as
Innovative Primary Care
Practice address
9910 W Loop 1604 N Ste 128
San Antonio, TX 78254-5610
Phone
(210) 455-6253
Fax
(210) 455-6287
NPI assigned
Aug 14, 2015
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Dr. Peter John Schanen, FNPNPI 1720491442
Title
President
Phone
(210) 455-6253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

9910 W Loop 1604 N Ste 128
San Antonio, TX 78254-5610

Mailing address

PO Box 1678
Helotes, TX 78023-1678
Phone (361) 438-4000

Other practice location 1

1704 Jenkins St
Rockport, TX 78382-3341
Phone (210) 455-6253

Other practice location 2

910 12th St Ste A
Bandera, TX 78003-3463
Phone (210) 455-6253

Other names 1

  • Innovative Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170203000311 TX Part B Supplier - Clinic/Group Practice 1254614977 Receives reassigned benefits from 9 practitioners
Practice locations: San Antonio, TX; Rockport, TX; Bandera, TX; Boerne, TX

National Provider Directory

National Provider Directory

Locations

910 12th St
Ste A
Bandera, TX 78003
Phone (210) 307-4924

9910 W Loop 1604 N
Ste 128
San Antonio, TX 78254
Phone (210) 455-6253

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1013383801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1678",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780231678",
            "telephone_number": "361-438-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 W LOOP 1604 N STE 128",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545610",
            "telephone_number": "210-455-6253",
            "fax_number": "210-455-6287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1704 Jenkins St",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "TX",
            "postal_code": "783823341",
            "country_code": "US",
            "telephone_number": "210-455-6253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 12th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Bandera",
            "state": "TX",
            "postal_code": "780033463",
            "country_code": "US",
            "telephone_number": "210-455-6253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH TEXAS NURSE PRACTITIONER SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "SCHANEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-455-6253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.