NPIMap

Individual provider Active NPI

Joy Perez, FNP-BC

  • Family Nurse Practitioner
  • Bandera, TX
National Provider Identifier
1174328017
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1191081 Issued in TX
Practice address
611 Main Street
Ste 4
Bandera, TX 78003
Phone
(830) 264-8210
NPI assigned
Feb 14, 2025
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 1191081 TX Primary

Addresses

Primary practice location

611 Main Street
Ste 4
Bandera, TX 78003

Mailing address

PO Box 2624
Bandera, TX 78003-2624
Phone (830) 264-8210

Other practice location 1

4333 Hwy 16 S # 400
Bandera, TX 78003-5167
Phone (830) 264-8210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250402000185 TX Practitioner - Nurse Practitioner 0244753069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Visiting Practitioners and Palliative Care LLCGroup PAC ID 6305276288, 5 clinicians
Rise Up Rehab, LLCGroup PAC ID 3274861497, 118 clinicians
Southern Psychiatric Services LLCGroup PAC ID 1355759077, 2 clinicians

Practice addresses (Care Compare)

15420 Nacogdoches Rd
San Antonio, TX 78247-1106
Phone (210) 860-2833

16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 572-4954

4333 Hwy 16 S
Suite 400
Bandera, TX 78003-5167
Phone (830) 264-8210

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1191081TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Practitioners & Palliative Care LLC CurrentSince Feb 14, 2025 Accepting new patients
Southern Psychiatric Services LLC Family CurrentSince Aug 1, 2025 Accepting new patients
Beacon Psychiatry and Mental Wellness, PLLC PastSince Aug 1, 2025 Accepting new patients

Locations

4333 State Highway 16 S
Ste 400
Bandera, TX 78003
Phone (830) 264-8210

215 W Bandera Rd
Boerne, TX 78006

104 Enterprise Ave
Devine, TX 78016
Phone (830) 663-4451

15420 Nacogdoches Rd
San Antonio, TX 78247
Phone (210) 767-3870

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDGACD/Endpoint/CDGACD

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1174328017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2624",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "780032624",
            "telephone_number": "830-264-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MAIN STREET",
            "address_2": "STE 4",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "78003",
            "telephone_number": "830-264-8210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4333 Hwy 16 S # 400",
            "address_purpose": "LOCATION",
            "city": "Bandera",
            "state": "TX",
            "postal_code": "780035167",
            "country_code": "US",
            "telephone_number": "830-264-8210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-14",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1191081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bandera, TX

Sources for this page

Verify at the official NPI Registry.