Individual provider Active NPI

Maria Concetta Rhadbane, FNP

  • Family Nurse Practitioner
  • Boerne, TX
National Provider Identifier
1215799291
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1149901 Issued in TX
Practice address
17 Old San Antonio Rd Ste 202
Boerne, TX 78006-3495
Phone
(830) 331-9880
NPI assigned
Jan 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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 1149901 TX Primary

Addresses

Primary practice location

17 Old San Antonio Rd Ste 202
Boerne, TX 78006-3495

Mailing address

17 Old San Antonio Rd Ste 202
Boerne, TX 78006-3495
Phone (830) 331-9880

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
I20240320000492 TX Practitioner - Nurse Practitioner 2668819160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Texas Nurse Advocate PLLCGroup PAC ID 7911362629, 5 clinicians

Practice addresses (Care Compare)

17 Old San Antonio Rd
Suite 202
Boerne, TX 78006-3495
Phone (830) 331-9880

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Nurse Advocate PLLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

17 Old San Antonio Rd
Boerne, TX 78006
Phone (830) 214-7714

Interoperability endpoints

  • Direct secure messaging: maria.rhadbane.1@30518.direct.athenahealth.com

Organizations & group practices 1

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": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1215799291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 OLD SAN ANTONIO RD STE 202",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063495",
            "telephone_number": "830-331-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 OLD SAN ANTONIO RD STE 202",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063495",
            "telephone_number": "830-331-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHADBANE",
        "first_name": "MARIA",
        "middle_name": "CONCETTA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1149901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.