Individual provider Active NPI

Deborah Ann Grote, F.N.P.

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1063517092
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
449480 Issued in TX
Practice address
5039 Beckwith Blvd
Suite 107
San Antonio, TX 78249-2293
Phone
(877) 329-8081
Fax
(512) 329-8281
NPI assigned
Sep 14, 2006
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11024968 FL
Family Nurse Practitioner 363LF0000X 449480 TX Primary

Addresses

Primary practice location

5039 Beckwith Blvd
Suite 107
San Antonio, TX 78249-2293

Mailing address

5039 Beckwith Blvd
Suite 107
San Antonio, TX 78249-2293
Phone (877) 329-8081

Other practice location 1

5444 Westheimer Rd Ste 1000
Houston, TX 77056-5318
Phone (830) 433-6318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, AL, NM, AR, WI, IN7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20070129000683 TX Practitioner - Nurse Practitioner 9436150778 Reassigns benefits to 1 organization
I20240205002492 TN Practitioner - Nurse Practitioner 9436150778
I20240610003106 AL Practitioner - Nurse Practitioner 9436150778 Reassigns benefits to 1 organization
I20240821003669 NM Practitioner - Nurse Practitioner 9436150778 Reassigns benefits to 1 organization
I20240919004263 AR Practitioner - Nurse Practitioner 9436150778 Reassigns benefits to 1 organization
I20241210001069 WI Practitioner - Nurse Practitioner 9436150778 Reassigns benefits to 1 organization
I20251030002376 IN Practitioner - Nurse Practitioner 9436150778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34431TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
APRN11024968FLMDFamily Nurse Practitioner
449480TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caremore Health Medical Partners, PC Past Accepting new patients
Whiteglove Medical Care - NJ, PC Past Accepting new patients
Carelon Medical Partners of Kansas, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dgrote20296@carelonhealth.direct-ci.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, 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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1063517092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 BECKWITH BLVD",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492293",
            "telephone_number": "877-329-8081",
            "fax_number": "512-329-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5039 BECKWITH BLVD",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492293",
            "telephone_number": "877-329-8081",
            "fax_number": "512-329-8281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5444 Westheimer Rd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770565318",
            "country_code": "US",
            "telephone_number": "830-433-6318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROTE",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024968",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "449480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.