Individual provider Active NPI

Grace Glenda Balderas, A.P.R.N. B.C.

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1134109366
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP114274 Issued in TX
Practice address
6800 W Ih 10
Suite 350
San Antonio, TX 78201-2038
Phone
(210) 692-1414
Fax
(210) 546-0358
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X AP114274 TX
Nurse Practitioner 363L00000X AP114274 TX Primary

Addresses

Primary practice location

6800 W Ih 10
Suite 350
San Antonio, TX 78201-2038

Mailing address

6800 W Ih 10
Suite 350
San Antonio, TX 78201-2038
Phone (210) 692-1414

Other identifiers 3

IdentifierTypeStateIssuer
289693YLLWOtherTXMEDICARE
P01523495OtherTXRAILROAD MCR
289693YLLWMedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GRACE.BALDERAS@hca7.eclinicaldirectplus.com

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
I20060103000129 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 8022030204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Physician Practices PLLCGroup PAC ID 8022171974, 176 clinicians

Practice addresses (Care Compare)

6800 W Ih
10 Suite 350
San Antonio, TX 78201-2044
Phone (210) 692-1414

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055

Merit-based Incentive Payment System (MIPS)

Final score
84.46 of 100Reported as group
Quality
71.92
Promoting interoperability
99
Improvement activities
40
Cost
71.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Physician Practices, PLLC CurrentSince Aug 1, 2013 Accepting new patients
South Texas Cardiovascular Consultants Past Accepting new patients

Locations

301 Junction Hwy
Ste 220
Kerrville, TX 78028
Phone (830) 792-7666

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

6800 W Ih 10
Ste 350
San Antonio, TX 78201
Phone (210) 692-1414

4801 NW Loop 410
Ste 360
San Antonio, TX 78229
Phone (210) 692-8811

Interoperability endpoints

  • Direct secure messaging: grace.balderas@hca7.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4
  • Direct secure messaging: 3254-baldera-grace@direct.leadingreach.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1134109366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 W IH 10",
            "address_2": "SUITE 350",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012038",
            "telephone_number": "210-692-1414",
            "fax_number": "210-546-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 W IH 10",
            "address_2": "SUITE 350",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012038",
            "telephone_number": "210-692-1414",
            "fax_number": "210-546-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERAS",
        "first_name": "GRACE",
        "middle_name": "GLENDA",
        "credential": "A.P.R.N. B.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "AP114274",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP114274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "289693YLLW",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P01523495",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289693YLLW",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GRACE.BALDERAS@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6800 W Ih 10",
            "address_2": "SUITE 350",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782012038",
            "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.