Individual provider Active NPI

Shauna Kroll, NP-C

  • Family Nurse Practitioner
  • Floresville, TX
National Provider Identifier
1114460151
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132649 Issued in TX
Practice address
495 10TH St Ste 104
Floresville, TX 78114-3163
Phone
(830) 393-0235
Fax
(830) 393-0413
NPI assigned
Nov 23, 2016
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 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 802948 TX
Family Nurse Practitioner 363LF0000X AP132649 TX Primary

Addresses

Primary practice location

495 10TH St Ste 104
Floresville, TX 78114-3163

Mailing address

495 10TH St Ste 104
Floresville, TX 78114-3163
Phone (830) 393-0235

Other names 1

  • Shauna Kurz Former name

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
I20170118002305 TX Practitioner - Nurse Practitioner 0446532980 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Downtown Dermatology PLLCGroup PAC ID 0143441279, 4 clinicians

Practice addresses (Care Compare)

10603 W Ave
Castle Hills Derm Clinic
San Antonio, TX 78213-1691
Phone (210) 901-9353

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
802948TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Dermatology PLLC CurrentSince Dec 1, 2024 Accepting new patients
Victoria Emergency Partners LLC CurrentSince Feb 19, 2020 Accepting new patients
Wilson County Memorial Hospital District CurrentSince Nov 1, 2016 Accepting new patients
Lone Star Emergency Associates LLC CurrentSince Aug 1, 2017 Accepting new patients
Wilson County Memorial Hospital District CurrentSince Nov 1, 2016 Accepting new patients

Locations

495 10th St
Ste 104
Floresville, TX 78114
Phone (830) 393-0235

499 10th St
Floresville, TX 78114
Phone (830) 216-7096

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

10603 West Ave
San Antonio, TX 78213
Phone (210) 901-9353

4118 McCullough Ave
San Antonio, TX 78212
Phone (210) 824-2111

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Interoperability endpoints

  • Direct secure messaging: skroll@directaddress.net

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": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1114460151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 10TH ST STE 104",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781143163",
            "telephone_number": "830-393-0235",
            "fax_number": "830-393-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 10TH ST STE 104",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781143163",
            "telephone_number": "830-393-0235",
            "fax_number": "830-393-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLL",
        "first_name": "SHAUNA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "802948",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "KURZ",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Floresville, TX

Sources for this page

Verify at the official NPI Registry.