Individual provider Active NPI

Stephen W Rasco, ARNP

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1316286776
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP142306 Issued in TX
Practice address
13909 Nacogdoches Rd Ste 111
San Antonio, TX 78217-1296
Phone
(210) 655-0100
NPI assigned
Feb 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9386243 FL
Family Nurse Practitioner 363LF0000X 22058 CA
Nurse Practitioner 363L00000X AP142306 TX Primary

Addresses

Primary practice location

13909 Nacogdoches Rd Ste 111
San Antonio, TX 78217-1296

Mailing address

6594 Avenida de Galvez
Navarre, FL 32566-8916
Phone (256) 338-0442

Other practice location 1

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone (256) 338-0442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150120002206 FL Practitioner - Nurse Practitioner 1850615949 Reassigns benefits to 2 organizations
I20180104001726 CA Practitioner - Nurse Practitioner 1850615949 Reassigns benefits to 1 organization
I20190923002796 TX Practitioner - Nurse Practitioner 1850615949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians

Practice addresses (Care Compare)

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 757-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9386243FLMDNurse Practitioner
AP142306TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Oct 6, 2016 Accepting new patients
FL-I Medical Services, LLC Nurse Practitioner Current Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Golden State Emergency Physicians Inc CurrentSince Jan 1, 2018 Accepting new patients
Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola CurrentSince Mar 29, 2015 Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Oct 6, 2016 Accepting new patients
Petrel Emergency Physicians, a Medical Corporation Past Accepting new patients
Methodist Carenow Urgent Care PLLC PastSince Mar 5, 2023 Accepting new patients
St. David's Carenow Urgent Care PLLC Past Accepting new patients

Locations

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

Organizations & group practices 9

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": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1316286776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6594 AVENIDA DE GALVEZ",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325668916",
            "telephone_number": "256-338-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13909 NACOGDOCHES RD STE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171296",
            "telephone_number": "210-655-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Mar Walt Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476708",
            "country_code": "US",
            "telephone_number": "256-338-0442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASCO",
        "first_name": "STEPHEN",
        "middle_name": "W",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-05",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9386243",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22058",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.