Individual provider Active NPI

Marian Gail Culpepper, APRN-CNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1033818315
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1124602 Issued in TX
Practice address
23530 Wilderness Oak
San Antonio, TX 78258-2406
Phone
(866) 389-2727
NPI assigned
Feb 27, 2023
Last updated
Oct 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 508007 TX
Family Nurse Practitioner 363LF0000X 1124602 TX Primary

Addresses

Primary practice location

23530 Wilderness Oak
San Antonio, TX 78258-2406

Mailing address

23530 Wilderness Oak
San Antonio, TX 78258-2406
Phone (668) 389-2727

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
I20241107003841 TX Practitioner - Nurse Practitioner 9931633377 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

23530 Wilderness Oak
San Antonio, TX 78258-2406
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
508007TXMDRegistered Nurse
1124602TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Oct 24, 2024 Accepting new patients
Minuteclinic Primary Care Texas PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Oct 24, 2024 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Oct 24, 2024 Accepting new patients
Medberry Health PLLC Past Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

1003 Richmond Ave
Houston, TX 77006
Phone (713) 807-8491

2469 Bay Area Blvd
Houston, TX 77058
Phone (281) 474-4042

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

5002 W Main St
League City, TX 77573
Phone (281) 557-4374

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2900 Broadway St
Pearland, TX 77581
Phone (281) 997-4400

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

23530 Wilderness Oak
San Antonio, TX 78258
Phone (210) 279-4351

5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, 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": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1033818315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23530 WILDERNESS OAK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582406",
            "telephone_number": "668-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23530 WILDERNESS OAK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582406",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULPEPPER",
        "first_name": "MARIAN",
        "middle_name": "GAIL",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "508007",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1124602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.