Kaci Lee Hultz, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

8930 Fourwinds Dr
Suite 101
Windcrest, TX 78239-1971

Phone

(210) 653-7444

Fax

(210) 653-7456

NPI assigned

Feb 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Healthnet Medical Clinic LTDGroup PAC ID 1254354590, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Texas Healthnet Medical Clinic LTD.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1578631040

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1336904887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 FOURWINDS DRIVE",
            "address_2": "SUITE 101",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "78239",
            "telephone_number": "210-653-7444",
            "fax_number": "210-653-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 FOURWINDS DR",
            "address_2": "SUITE 101",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782391971",
            "telephone_number": "210-653-7444",
            "fax_number": "210-653-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULTZ",
        "first_name": "KACI",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Handz Luvin Heartz, LLC
• Courtney Heck, CPNP
• Eric I Hettler, PA-C
• Jason Hogue, PRE-DOCTORAL INTERN
• Huimaoung Inc.
• Melissa Hutsen, FNP
• Emily J Jacquez
• Emily Jetter, PHARMACIST
• Melanie Joe
• Casey A Jones, PA-C

• Medical Physician Assistant in Windcrest, TX
• Providers in Windcrest, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.