Individual provider Active NPI

Angel Tyler, NP

  • Adult Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1083198402
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1111823 Issued in TX
Practice address
13035 Nacogdoches Rd Ste 2
San Antonio, TX 78217-1960
Phone
(210) 333-8895
NPI assigned
Sep 21, 2018
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 903547 TX
Adult Health Nurse Practitioner 363LA2200X 1111823 TX Primary

Addresses

Primary practice location

13035 Nacogdoches Rd Ste 2
San Antonio, TX 78217-1960

Mailing address

13035 Nacogdoches Rd Ste 2
San Antonio, TX 78217-1960
Phone (210) 333-8895

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
I20231117000742 TX Practitioner - Nurse Practitioner 8426405184 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Neurology Institute of Kerrville PLLCGroup PAC ID 3678937687, 10 clinicians
Inpatient Medicine Physicians PAGroup PAC ID 7911009055, 16 clinicians
Suzanne K. Gazda, MD, PLLCGroup PAC ID 0143267161, 6 clinicians
MPP Infusion Center of Tyler LLCGroup PAC ID 5496019507, 12 clinicians

Practice addresses (Care Compare)

1001 Water St BLDG J
Suite 100
Kerrville, TX 78028-3569
Phone 2106921245112

29924 FM
Suite 3009
New Braunfels, TX 78132-2637
Phone (830) 620-0330

3603 Paesanos Pkwy
Suite 200
San Antonio, TX 78231-1269
Phone (210) 593-0776

6115 New Copeland Rd
Suite 130
Tyler, TX 75703-6338
Phone (972) 598-0000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903547TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Multigroup Physician Practice of Texas CurrentSince Sep 22, 2025 Accepting new patients
Inpatient Medicine Physicians PA CurrentSince Aug 1, 2024 Accepting new patients
Okey Okoli, M.D., P.a. CurrentSince Mar 17, 2024 Accepting new patients
Neurology Institute of Kerrville PLLC CurrentSince Sep 22, 2025 Accepting new patients
Lone Star Extensivists PLLC CurrentSince Oct 1, 2024 Accepting new patients
US Multi-Specialty Group CurrentSince Jan 1, 2024 Accepting new patients
Suzanne K. Gazda, MD, PLLC CurrentSince Sep 22, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 15, 2023 Accepting new patients
MPP Infusion Center of Tyler LLC CurrentSince Sep 22, 2025 Accepting new patients
R. Braden Neiman, MD PA PastSince Sep 22, 2025 Accepting new patients

Locations

1580 S Main St
Ste 101B
Boerne, TX 78006
Phone (210) 692-1245

1580 S Main St
Ste 201
Boerne, TX 78006
Phone (210) 692-1245

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

8144 Walnut Hill Ln
Ste 1350
Dallas, TX 75231
Phone (720) 996-2112

209 N Bonnie Brae St
Ste 3
Denton, TX 76201

1001 Water St
Ste J-100
Kerrville, TX 78028
Phone (830) 257-3131

1005 W Ralph Hall Pkwy
Ste 227
Rockwall, TX 75032
Phone (469) 769-4529

13035 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 333-8895

13035 Nacogdoches Rd
Ste 2
San Antonio, TX 78217
Phone (210) 333-8895

3603 Paesanos Pkwy
Ste 200
San Antonio, TX 78231
Phone (210) 593-0776

3603 Paesanos Pkwy
Ste 300
San Antonio, TX 78231
Phone (210) 614-3011

3603 Paesanos Pkwy
Ste 340
San Antonio, TX 78231

601 Zena Rucker Rd
Ste 1
Southlake, TX 76092
Phone (972) 598-0030

601 Zena Rucker Rd
Ste 101
Southlake, TX 76092
Phone (972) 546-1273

6115 New Copeland Rd
Ste 130
Tyler, TX 75703

Organizations & group practices 10

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": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1083198402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13035 NACOGDOCHES RD STE 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171960",
            "telephone_number": "210-333-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13035 NACOGDOCHES RD STE 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171960",
            "telephone_number": "210-333-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "ANGEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "903547",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1111823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.