Individual provider Active NPI

Katy Bly Caulfield, AGPCNP

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1174212427
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1115957 Issued in TX
Practice address
9618 Huebner Rd Ste 202
San Antonio, TX 78240-1776
Phone
(210) 651-0303
Fax
(210) 651-0302
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1115957 TX
Nurse Practitioner 363L00000X 1115957 TX Primary

Addresses

Primary practice location

9618 Huebner Rd Ste 202
San Antonio, TX 78240-1776

Mailing address

7947 Colonial Woods
Boerne, TX 78015-5001
Phone (210) 414-0982

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
I20240627001197 TX Practitioner - Nurse Practitioner 5395289664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medcare Associates PAGroup PAC ID 5294714580, 28 clinicians
Texas Center for Medical and Surgical Weight Loss P aGroup PAC ID 7517990120, 11 clinicians

Practice addresses (Care Compare)

120 Medical Dr
Boerne, TX 78006-1830
Phone (830) 816-5700

9618 Huebner Rd
Suite 202
San Antonio, TX 78240-1776
Phone 2106510303226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1115957TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Center for Medical & Surgical Weight Loss P a Nurse Practitioner CurrentSince Apr 18, 2024 Accepting new patients
Medcare Associates, P.a. CurrentSince Sep 26, 2025 Accepting new patients
Medcare Associates PA Past Accepting new patients

Locations

120 Medical Dr
Boerne, TX 78006
Phone (830) 249-9307

1051 US Highway 90 E
Castroville, TX 78009
Phone (830) 931-3336

9618 Huebner Rd
Ste 202
San Antonio, TX 78240
Phone (210) 651-0303

19260 Stone Oak Pkwy
Ste 105
San Antonio, TX 78258
Phone (210) 402-3456

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": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1174212427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7947 COLONIAL WOODS",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780155001",
            "telephone_number": "210-414-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9618 HUEBNER RD STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401776",
            "telephone_number": "210-651-0303",
            "fax_number": "210-651-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAULFIELD",
        "first_name": "KATY",
        "middle_name": "BLY",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1115957",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1115957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.