Madeline Grace Kremer, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16152 Issued in TX

Practice address

225 E Sonterra Blvd Ste 220
San Antonio, TX 78258-3886

Phone

(210) 614-5100

NPI assigned

Oct 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Madeline Grace Kosch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 4, 2022 through Nov 4, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• S.a.O.S., P.L.L.C.

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1265410435
  NPD
• Texas Bone Health and Wellness Center

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1811888142
  NPD

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1043936156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47052",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782657052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E SONTERRA BLVD STE 220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583886",
            "telephone_number": "210-614-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMER",
        "first_name": "MADELINE",
        "middle_name": "GRACE",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "KOSCH",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexander Bradley Kreines, D.O
• Gerald Richard Kreitz, D.C.
• Jennifer Krejci-Manwaring, MD
• Collin Krejci, MA, LPS-C
• Greyson Lee Kremer, MSN, APRN, FNP-C
• Nicole Elizabeth Kremer, LPC
• Michelle Lynn Krenek, D.C.
• Eugene G Krenzer Jr., LMFTA
• Kadie Patricia Kress, PT, DPT
• Rebecca Kret

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.