Individual provider Active NPI

Nadine Nzenga Udom, FNP

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1063941060
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP133480 Issued in TX
Practice address
10323 State Highway 151
San Antonio, TX 78251-4557
Phone
(210) 581-5306
NPI assigned
Jun 5, 2017
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP133480 TX
Family Medicine Physician 207Q00000X AP133480 TX Primary
Hospitalist Physician 208M00000X AP133480 TX

Addresses

Primary practice location

10323 State Highway 151
San Antonio, TX 78251-4557

Mailing address

5460 Babcock Rd Ste 120-C
San Antonio, TX 78240-3901
Phone (940) 395-8333

Other practice location 1

555 Granite Clf
San Antonio, TX 78251-4287
Phone (210) 264-3191

Other practice location 2

11212 State Highway 151 Ste 105
San Antonio, TX 78251-4555
Phone (210) 309-1405

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NA Direct

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
I20170821002548 TX Practitioner - Nurse Practitioner 0244502599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians
Brett Helmonds DO PLLCGroup PAC ID 9335536879, 8 clinicians

Practice addresses (Care Compare)

260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747

3011 W Loop 1604
San Antionio, TX 78251-3901
Phone (726) 266-7081

3333 Research PLZ
San Antonio, TX 78235-5154
Phone (210) 297-3650

6018 Bantry Bay
San Antonio, TX 78240-5720
Phone (408) 839-5887

7930 Floyd Curl Dr
San Antonio, TX 78229-3925
Phone (210) 297-5650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP133480TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brett Helmonds DO PLLC CurrentSince Aug 1, 2024 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince May 12, 2025 Accepting new patients
VHS San Antonio Partners LLC Past Accepting new patients

Locations

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

8902 Floyd Curl Dr
San Antonio, TX 78240
Phone (210) 575-8003

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1063941060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 BABCOCK RD STE 120-C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403901",
            "telephone_number": "940-395-8333",
            "fax_number": "210-783-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10323 STATE HIGHWAY 151",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514557",
            "telephone_number": "210-581-5306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Granite Clf",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514287",
            "country_code": "US",
            "telephone_number": "210-264-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11212 State Highway 151 Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514555",
            "country_code": "US",
            "telephone_number": "210-309-1405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDOM",
        "first_name": "NADINE",
        "middle_name": "NZENGA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP133480",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP133480",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "AP133480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10323 State Highway 151",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782514557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.