Individual provider Active NPI

Scott Eric Hudnall, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1336544485
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126811 Issued in TX
Practice address
902 Bandera Rd
San Antonio, TX 78228-4923
Phone
(210) 431-4503
NPI assigned
Oct 31, 2014
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP126811 TX
Family Nurse Practitioner 363LF0000X AP126811 TX Primary

Addresses

Primary practice location

902 Bandera Rd
San Antonio, TX 78228-4923

Mailing address

2503 Canon Perdido
San Antonio, TX 78261-2874
Phone (210) 452-0785

Other practice location 1

11823 Culebra Rd
San Antonio, TX 78253-4562
Phone (210) 598-1517

Other practice location 2

1659 Highway 46 W Ste 160
New Braunfels, TX 78132-4746
Phone (830) 387-4991

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
I20150209000231 TX Practitioner - Nurse Practitioner 1658696943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

13722 Embassy Row
San Antonio, TX 78216-2000
Phone (726) 207-3656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince May 19, 2025 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 19, 2022 Accepting new patients
TMC Provider Group PLLC CurrentSince May 19, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 19, 2022 Accepting new patients
Coastal ER IX, LLC PastSince Oct 6, 2019 Accepting new patients

Locations

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

1659 Highway 46 W
Ste 160
New Braunfels, TX 78132
Phone (830) 387-4491

11823 Culebra Rd
Ste 105
San Antonio, TX 78253
Phone (210) 598-1517

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1336544485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 CANON PERDIDO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612874",
            "telephone_number": "210-452-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782284923",
            "telephone_number": "210-431-4503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11823 Culebra Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782534562",
            "country_code": "US",
            "telephone_number": "210-598-1517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1659 Highway 46 W Ste 160",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781324746",
            "country_code": "US",
            "telephone_number": "830-387-4991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDNALL",
        "first_name": "SCOTT",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-31",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP126811",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.