Active NPI
Mark P Wilson, FNP
- Family Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP116948
- Practice address
- 11555 Culebra Rd Lot 84
San Antonio, TX 78253-4826 - Phone
- (210) 379-0501
- NPI assigned
- Aug 20, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 648078 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP116948 | TX | Primary |
Addresses
Primary practice location
11555 Culebra Rd Lot 84
San Antonio, TX 78253-4826
Mailing address
11555 Culebra Rd Lot 84
San Antonio, TX 78253-4826
Phone (210) 379-0501
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17910 Bulverde Rd
Suite 115
San Antonio, TX 78259-3762
Phone (210) 906-8478
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 648078 | TX | MD | Adult Health Nurse Practitioner |
| AP116948 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PVD Urgent Care LLC | Current | Accepting new patients | |
| PVD Urgent Care LLC | Current | Accepting new patients | |
| Fast Track Urgent Care | Current | Accepting new patients | |
| Fast Track Urgent Care - Bastrop | Current | Accepting new patients | |
| Emergency Medical Associates of Tampa Bay, LLC | Past | Accepting new patients | |
| St. David'S Carenow Urgent Care PLLC | Past | Accepting new patients |
Locations
17910 Bulverde Rd
Ste 115
San Antonio, TX 78259
Phone (210) 906-8478
18007 Ih 10 W
San Antonio, TX 78257
Phone (210) 530-1040
12007 Alamo Ranch Pkwy
Ste 124
San Antonio, TX 78253
Phone (210) 405-0507
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1497151237
-
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1033652110
-
- Urgent Care Clinic/Center
- Bastrop, TX
- NPI 1962193680
-
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1215456645
-
- Family Medicine Physician
- Austin, TX
- NPI 1851844104
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1023397817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1043467145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11555 CULEBRA RD LOT 84",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782534826",
"telephone_number": "210-379-0501",
"fax_number": "210-314-4761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11555 CULEBRA RD LOT 84",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782534826",
"telephone_number": "210-379-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MARK",
"middle_name": "P",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-20",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "648078",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP116948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.