Active NPI
Kayla Renee Ross, FNP-C
- Family Nurse Practitioner
- Shavano Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1130366
- Practice address
- 4085 De Zavala Rd Ste 200
Shavano Park, TX 78249-2084 - Phone
- (210) 558-6288
- Fax
- (210) 558-6289
- NPI assigned
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1130366 | TX | Primary |
Addresses
Primary practice location
4085 De Zavala Rd Ste 200
Shavano Park, TX 78249-2084
Mailing address
PO Box 2776
San Antonio, TX 78299-2776
Phone (210) 558-6288
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.17 of 100
- Quality
- 38.33
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1130366 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apexcare PLLC | Current | Accepting new patients | |
| Apexmed, PLLC | Current | Accepting new patients | |
| South Texas Healthcare Inc | Current | Accepting new patients | |
| Jibrail Kasperkhan, M.D. PLLC | Current | Accepting new patients | |
| Boerne Hospice Partners, LLC | Past | Accepting new patients |
Locations
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
1150 N Loop 1604 W
Ste 108629
San Antonio, TX 78248
1150 N Loop 1604 W
Ste 108641
San Antonio, TX 78248
4085 De Zavala Rd
Ste 100
Shavano Park, TX 78249
Phone (210) 469-3200
4085 De Zavala Rd
Ste 200
Shavano Park, TX 78249
Phone 2105586288123
4085 De Zavala Rd
Shavano Park, TX 78249
4085 De Zavala Rd
Ste 150
Shavano Park, TX 78249
Phone (210) 368-6614
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FHJJCA
Organizations & group practices 5
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- San Antonio, TX
- NPI 1982216297
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1013445519
-
- Geriatric Medicine (Internal Medicine) Physician
- San Antonio, TX
- NPI 1215164843
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1700276573
-
- Community Based Hospice Care Agency
- Shavano Park, TX
- NPI 1871012450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731715200000",
"number": "1346923950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2776",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782992776",
"telephone_number": "210-558-6288",
"fax_number": "210-558-6289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4085 DE ZAVALA RD STE 200",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782492084",
"telephone_number": "210-558-6288",
"fax_number": "210-558-6289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "KAYLA",
"middle_name": "RENEE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-10",
"last_updated": "2024-11-16",
"certification_date": "2024-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1130366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shavano Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.