Individual provider Active NPI

Nicole Cunanan, MD

  • Family Medicine Physician
  • Harker Heights, TX
National Provider Identifier
1073215034
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
W4794 Issued in TX
Practice address
3035 Stillhouse Lake Rd
Harker Heights, TX 76548-8859
Phone
(254) 519-8922
Fax
(254) 519-8929
NPI assigned
Mar 21, 2023
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X W4794 TX Primary

Addresses

Primary practice location

3035 Stillhouse Lake Rd
Harker Heights, TX 76548-8859

Mailing address

3035 Stillhouse Lake Rd
Harker Heights, TX 76548-8859
Phone (254) 519-8922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250830000211 WI Order and Referring Only - Family PracticePractitioner - Family Practice 4688175672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Metroplex Clinic Physicians, Inc. Family Medicine CurrentSince Sep 21, 2026 Accepting new patients

Locations

3035 Stillhouse Lake Rd
Harker Heights, TX 76548
Phone (254) 519-3338

Organizations & group practices 1

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": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1073215034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 STILLHOUSE LAKE RD",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765488859",
            "telephone_number": "254-519-8922",
            "fax_number": "254-519-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 STILLHOUSE LAKE RD",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765488859",
            "telephone_number": "254-519-8922",
            "fax_number": "254-519-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNANAN",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "W4794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

Verify at the official NPI Registry.