Individual provider Active NPI

Amy Cervantes, AGACNP-BC

  • Acute Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1346730884
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP136521 Issued in TX
Practice address
11106 Christus HLS
San Antonio, TX 78251-3584
Phone
(888) 380-0988
NPI assigned
May 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP136521 TX Primary

Addresses

Primary practice location

11106 Christus HLS
San Antonio, TX 78251-3584

Mailing address

2950 Buskirk Ave Ste 300
Walnut Creek, CA 94597-6900
Phone (888) 380-0988

Other practice location 1

3935 Medical Center Dr
San Antonio, TX 78229
Phone (888) 380-0988

Other practice location 2

603 Corinne Dr
San Antonio, TX 78218-3303
Phone (888) 380-0988

Other identifiers 1

IdentifierTypeStateIssuer
386749101MedicaidTX

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
I20180706000964 TX Practitioner - Nurse Practitioner 2961758818 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Practice addresses (Care Compare)

11106 Christus HLS
San Antonio, TX 78251-3584
Phone (210) 672-6190

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Jul 2, 2018 Accepting new patients
National Health Rehabilitation LLC CurrentSince Sep 1, 2024 Accepting new patients
Applebaum Physiatry PLLC CurrentSince Dec 1, 2024 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jul 2, 2018 Accepting new patients

Locations

12921 Misty Willow Dr
Houston, TX 77070
Phone (281) 469-7881

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

1737 North Loop W
Houston, TX 77008
Phone (713) 867-5551

11106 Christus Hls
San Antonio, TX 78251
Phone (210) 240-8241

5027 Pecan Grove Blvd
San Antonio, TX 78222
Phone (210) 333-6815

4707 Broadway
San Antonio, TX 78209
Phone (210) 829-7561

333 Matlage Way
Sugar Land, TX 77478
Phone (281) 491-2226

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

16659 Southwest Fwy
Ste 421
Sugar Land, TX 77479
Phone (281) 201-2699

603 Corinne Dr
Windcrest, TX 78218
Phone (210) 824-4891

Interoperability endpoints

  • Direct secure messaging: acervantes103079@direct.houstonmethodist.org

Organizations & group practices 4

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": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1346730884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 BUSKIRK AVE STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945976900",
            "telephone_number": "888-380-0988",
            "fax_number": "289-236-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11106 CHRISTUS HLS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513584",
            "telephone_number": "888-380-0988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3935 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "888-380-0988",
            "fax_number": "289-236-3022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 Corinne Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782183303",
            "country_code": "US",
            "telephone_number": "888-380-0988",
            "fax_number": "289-236-3022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "AMY",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP136521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386749101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.