Individual provider Active NPI

Tanner Lee Mackay, FNP-C

  • Family Nurse Practitioner
  • New Braunfels, TX
National Provider Identifier
1215536537
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1016749 Issued in TX
Practice address
555 Creekside Xing
New Braunfels, TX 78130-2594
Phone
(830) 500-6650
NPI assigned
Oct 19, 2020
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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 1016749 TX Primary

Addresses

Primary practice location

555 Creekside Xing
New Braunfels, TX 78130-2594

Mailing address

3919 Canyon Pkwy
San Antonio, TX 78259-2253

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL resolutehealth.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
I20201222002186 TX Practitioner - Nurse Practitioner 0840602520 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comal Emergency Physicians PLLCGroup PAC ID 6901259936, 81 clinicians

Practice addresses (Care Compare)

1301 Wonder World Dr
San Marcos, TX 78666-7533
Phone (512) 353-8979

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as group
Quality
92.78
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
92.03
Improvement activities
40
Cost
85.07

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Partners LLC CurrentSince Oct 1, 2021 Accepting new patients
Third Coast Emergency Physicians Southwest PA CurrentSince Apr 1, 2023 Accepting new patients
Bexar Emergency Physicians, PLLC CurrentSince Mar 1, 2024 Accepting new patients
Comal Emergency Physicians, PLLC CurrentSince Mar 1, 2024 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Nov 10, 2021 Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

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

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

1434 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 686-8000

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

403 Treeline Park
San Antonio, TX 78209
Phone (210) 294-8000

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

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.

Hospital & facility affiliations 2

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1215536537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 CANYON PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CREEKSIDE XING",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302594",
            "telephone_number": "830-500-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "TANNER",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1016749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "resolutehealth.com",
            "affiliation": "N",
            "address_1": "555 Creekside Xing",
            "city": "New Braunfels",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781302594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.