Individual provider Active NPI

Deanna Patek, RN, BSB, BSN

  • Gerontology Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1336806983
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1057918 Issued in TX
Practice address
7622 Louis Pasteur Dr
San Antonio, TX 78229-4037
Phone
(210) 610-3859
Fax
(210) 641-2277
NPI assigned
Nov 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1057918 TX Primary

Addresses

Primary practice location

7622 Louis Pasteur Dr
San Antonio, TX 78229-4037

Mailing address

7622 Louis Pasteur Dr Ste 201
San Antonio, TX 78229-4019
Phone (210) 610-3859

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
I20220118001908 TX Practitioner - Nurse Practitioner 8921490293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

San Antonio, TX 78257
Phone (210) 617-4706

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1057918TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. CurrentSince Feb 1, 2025 Accepting new patients
Wellmed Medical Group, PA CurrentSince Feb 1, 2025 Accepting new patients
Wellmed Networks, Inc. CurrentSince Dec 5, 2021 Accepting new patients

Locations

7622 Louis Pasteur Dr
Ste 201
San Antonio, TX 78229
Phone (210) 610-3859

19500 Ih 10 W
#15030
San Antonio, TX 78257
Phone (210) 617-4607

19500 Ih 10 W
Bldg 1
San Antonio, TX 78257
Phone (726) 567-6300

7622 Louis Pasteur Dr
Ste 100
San Antonio, TX 78229
Phone (210) 614-7840

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

7622 Louis Pasteur Dr
San Antonio, TX 78229
Phone (210) 610-3859

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: deanna.patek@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1336806983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7622 LOUIS PASTEUR DR STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294019",
            "telephone_number": "210-610-3859",
            "fax_number": "210-641-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7622 LOUIS PASTEUR DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294037",
            "telephone_number": "210-610-3859",
            "fax_number": "210-641-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEK",
        "first_name": "DEANNA",
        "name_prefix": "Mrs.",
        "credential": "RN, BSB, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1057918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.