Individual provider Active NPI

Brenda Y Luna-Lopez, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1033118013
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
638025 Issued in TX
Practice address
448 Castroville Rd
San Antonio, TX 78207-5147
Phone
(210) 434-1400
Fax
(210) 431-7472
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 638025 TX Primary

Addresses

Primary practice location

448 Castroville Rd
San Antonio, TX 78207-5147

Mailing address

448 Castroville Rd
San Antonio, TX 78207-5147
Phone (210) 434-1400

Other identifiers 3

IdentifierTypeStateIssuer
162492602MedicaidTX
267021YLPSOtherTXWELLMED MEDICAL GROUP PA
8N8225OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040218001104 TX Practitioner - Nurse Practitioner 3173418027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

San Antonio, TX 78257
Phone (210) 617-4706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. CurrentSince Jan 15, 2013 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jan 15, 2013 Accepting new patients
Wellmed Medical Group, PA Current Accepting new patients
Central Cardiovascular Institute of San Antonio Past Accepting new patients

Locations

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

730 N Main Ave
Ste 815
San Antonio, TX 78205
Phone (210) 223-3119

19500 Ih 10 W
#15030
San Antonio, TX 78257
Phone (210) 617-4607

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: brenda.lunalopez@wellmed.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1033118013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 CASTROVILLE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782075147",
            "telephone_number": "210-434-1400",
            "fax_number": "210-431-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 CASTROVILLE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782075147",
            "telephone_number": "210-434-1400",
            "fax_number": "210-431-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA-LOPEZ",
        "first_name": "BRENDA",
        "middle_name": "Y",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "638025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162492602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAL GROUP PA",
            "identifier": "267021YLPS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8N8225",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.