Active NPI
Selena Marie Villarreal
- Physician Assistant
- San Antonio, TX
National Provider Identifier
1215665591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18976
- Practice address
- 12047 Potranco Rd Ste 105
San Antonio, TX 78253-7555 - Phone
- (210) 571-1338
- Fax
- (210) 571-1339
- NPI assigned
- Aug 12, 2022
- Last updated
- Apr 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA18976 | TX | Primary |
Addresses
Primary practice location
12047 Potranco Rd Ste 105
San Antonio, TX 78253-7555
Mailing address
1201 W University Dr
Edinburg, TX 78539-2909
Phone (956) 665-7049
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7579 N Loop 1604
San Antonio, TX 78249-2781
Phone (210) 695-1900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA18976 | TX | MD | Physician Assistant |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Village Medical
- Family Medicine Physician
- San Antonio, TX
- NPI 1902400880
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1912601907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1215665591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W UNIVERSITY DR",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785392909",
"telephone_number": "956-665-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12047 POTRANCO RD STE 105",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782537555",
"telephone_number": "210-571-1338",
"fax_number": "210-571-1339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "SELENA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-12",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA18976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.