Individual provider Active NPI

Kayla Renee Ross, FNP-C

  • Family Nurse Practitioner
  • Shavano Park, TX
National Provider Identifier
1346923950
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1130366 Issued in TX
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

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231103000285 TX Practitioner - Nurse Practitioner 7517314123 Reassigns benefits to 4 organizations

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
Apexmed PLLCGroup PAC ID 3678842978, 21 clinicians
Apexcare PLLCGroup PAC ID 8224455290, 4 clinicians

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 100Reported as individual
Quality
38.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1130366TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apexcare PLLC CurrentSince Sep 1, 2023 Accepting new patients
Apexmed, PLLC CurrentSince Sep 1, 2023 Accepting new patients
South Texas Healthcare Inc CurrentSince Oct 1, 2025 Accepting new patients
Jibrail Kasperkhan, M.D. PLLC CurrentSince Oct 1, 2025 Accepting new patients
Boerne Hospice Partners, LLC PastSince Apr 14, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.