Individual provider Active NPI

Darrell Elliott, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1104624527
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1192070 Issued in TX
Practice address
1380 Pantheon Way Ste 115
San Antonio, TX 78232-2288
Phone
(210) 886-8020
Fax
(210) 886-8021
NPI assigned
Mar 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1192070 TX Primary

Addresses

Primary practice location

1380 Pantheon Way Ste 115
San Antonio, TX 78232-2288

Mailing address

1380 Pantheon Way Ste 115
San Antonio, TX 78232-2288
Phone (210) 886-8020

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
I20250522002307 TX Practitioner - Nurse Practitioner 0840650958 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CFHC No22 Inc Current Accepting new patients
Devoted Care Hospice, Inc. CurrentSince Mar 11, 2025 Accepting new patients
Truegrit Health, PLLC CurrentSince Mar 19, 2025 Accepting new patients

Locations

1370 Pantheon Way
Ste 190
San Antonio, TX 78232
Phone (210) 685-3593

1380 Pantheon Way
Ste 115
San Antonio, TX 78232
Phone (210) 886-8020

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Devoted Care Hospice, Inc.San Antonio, TX, CCN 971699 Hospice 5% Or Greater Direct Ownership Interest (18%)
General Partnership Interest
Corporate Officer
Corporate Director
W-2 Managing Employee
Operational/Managerial Control
Dec 25, 2022
Dec 25, 2022
Dec 25, 2022
Dec 25, 2022
Dec 25, 2022
Dec 25, 2022
CFHC No22 IncSan Antonio, TX, CCN A91625 Hospice 5% Or Greater Direct Ownership Interest (20%)
Corporate Officer
Corporate Director
W-2 Managing Employee
Dec 22, 2023
Dec 22, 2023
Dec 22, 2023
Dec 22, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1104624527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 PANTHEON WAY STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322288",
            "telephone_number": "210-886-8020",
            "fax_number": "210-886-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 PANTHEON WAY STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322288",
            "telephone_number": "210-886-8020",
            "fax_number": "210-886-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "DARRELL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1192070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.