Individual provider Active NPI

Joanne Elaine Smith, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1306494810
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP143250 Issued in TX
Practice address
16620 San Pedro Ave Ste 300
San Antonio, TX 78232
Phone
(210) 871-4701
Fax
(210) 688-4596
NPI assigned
Aug 28, 2019
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP143250 TX Primary
Hospice Registered Nurse 163WH1000X 729919 TX

Addresses

Primary practice location

16620 San Pedro Ave Ste 300
San Antonio, TX 78232

Mailing address

16620 San Pedro Ave Ste 300
San Antonio, TX 78232
Phone (940) 782-6456

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
I20200420001587 TX Practitioner - Nurse Practitioner 1153751904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rise Up Rehab, LLCGroup PAC ID 3274861497, 118 clinicians
Inpatient Progressive Health of America, PLLCGroup PAC ID 5698072320, 72 clinicians

Practice addresses (Care Compare)

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

16620 N US Hwy 281
Suite 300
San Antonio, TX 78232-2679

16620 San Pedro Ave
Suite 300
San Antonio, TX 78232-2679
Phone (210) 871-4701

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
729919TXMDHospice Registered Nurse
AP143250TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hpa Medical Management, LLC Multi-Specialty CurrentSince Mar 30, 2020 Accepting new patients
Inpatient Progressive Health of America, PLLC Multi-Specialty CurrentSince Feb 13, 2023 Accepting new patients
Hpa Medical Management, LLC Multi-Specialty CurrentSince Mar 30, 2020 Accepting new patients
Healing Wounds LLC Multi-Specialty Past Accepting new patients

Locations

6303 Cowboys Way
Ste 600
Frisco, TX 75034

16620 San Pedro Ave
Ste 300
San Antonio, TX 78232
Phone (210) 614-1231

3201 Cherry Ridge Dr
Ste C313
San Antonio, TX 78230
Phone (210) 444-2244

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 4

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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1306494810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 SAN PEDRO AVE STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78232",
            "telephone_number": "940-782-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 SAN PEDRO AVE STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78232",
            "telephone_number": "210-871-4701",
            "fax_number": "210-688-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOANNE",
        "middle_name": "ELAINE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP143250",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "TX",
            "license": "729919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.