Individual provider Active NPI

Vanessa Mercedes Villarreal, A-GNP-C

  • Gerontology Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1194430819
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1107552 Issued in TX
Practice address
12610 Emmett GRV
San Antonio, TX 78254-6099
Phone
(210) 324-0204
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1107552 TX
Gerontology Nurse Practitioner 363LG0600X 1107552 TX Primary

Addresses

Primary practice location

12610 Emmett GRV
San Antonio, TX 78254-6099

Mailing address

12610 Emmett GRV
San Antonio, TX 78254-6099
Phone (210) 324-0204

Other practice location 1

515 N 3rd St
Longview, TX 75601-6546
Phone (903) 475-3474

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
I20230508000328 TX Practitioner - Nurse Practitioner 6901261304 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
TX Alliance Wound Care Services PLLCGroup PAC ID 4688176456, 9 clinicians
Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians

Practice addresses (Care Compare)

San Antonio, TX 78257
Phone (888) 706-1444

515 N 3Rd St
Longview, TX 75601-6546
Phone (769) 243-6141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates Nurse Practitioner CurrentSince Sep 18, 2023 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients
US Multi-Specialty Group CurrentSince Aug 1, 2023 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Jan 26, 2023 Accepting new patients
TX Alliance Wound Care Services PLLC Nurse Practitioner CurrentSince Jul 7, 2025 Accepting new patients
Blue Lotus Medical Group LLC CurrentSince May 1, 2025 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Jan 26, 2023 Accepting new patients
Trinity Med Care Past Accepting new patients

Locations

7881 W Charleston Blvd
Ste 230
Las Vegas, NV 89117
Phone (702) 508-2153

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

8210 Callaghan Rd
San Antonio, TX 78230

1831 S General McMullen Dr
San Antonio, TX 78226
Phone (210) 434-1400

4 Dominion Dr
Ste 100
San Antonio, TX 78257
Phone (888) 706-1444

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: vvillarreal612973@uhssa.direct-ci.com

Organizations & group practices 10

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": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1194430819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12610 EMMETT GRV",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782546099",
            "telephone_number": "210-324-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 EMMETT GRV",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782546099",
            "telephone_number": "210-324-0204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756016546",
            "country_code": "US",
            "telephone_number": "903-475-3474",
            "fax_number": "903-367-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "VANESSA",
        "middle_name": "MERCEDES",
        "credential": "A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1107552",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1107552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.