Individual provider Active NPI

Stephanie Ann Villanueva, DNP, APRN, FNP-C

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1366074544
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP144853 Issued in TX
Practice address
400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991
Phone
(210) 804-5920
Fax
(210) 804-5924
NPI assigned
Feb 6, 2020
Last updated
Feb 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144853 TX
Nurse Practitioner 363L00000X AP144853 TX Primary

Addresses

Primary practice location

400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991

Mailing address

400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991
Phone (210) 804-5416

Other practice location 1

150 E Sonterra Blvd Ste 300
San Antonio, TX 78258-4184
Phone (210) 804-5920

Other practice location 2

2829 Babcock Rd Ste 700
San Antonio, TX 78229-6015
Phone (210) 804-5920

Other practice location 3

11212 State Highway 151 Ste 150
San Antonio, TX 78251-4505
Phone (210) 804-5920

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
I20200415000110 TX Practitioner - Nurse Practitioner 4981034980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

19138 US Hwy 281 N
San Antonio, TX 78258-4988
Phone (210) 804-5400

400 Concord Plaza Dr
Suite 300
San Antonio, TX 78216-6991
Phone (210) 804-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.86 of 100Reported as group
Quality
65.93
Promoting interoperability
94
Improvement activities
40
Cost
71.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144853TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The San Antonio Orthopaedic Group, LLP CurrentSince Feb 10, 2020 Accepting new patients
The San Antonio Orthopaedic Group, LLP CurrentSince Feb 10, 2020 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

601 Creekside Xing
Ste 106
New Braunfels, TX 78130
Phone (210) 630-4637

11212 State Highway 151
Ste 150
San Antonio, TX 78251
Phone (210) 233-1215

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

150 E Sonterra Blvd
Ste 300
San Antonio, TX 78258
Phone (210) 489-7270

19138 US Highway 281 N
Ste 100
San Antonio, TX 78258
Phone (210) 396-5285

2829 Babcock Rd
Ste 700
San Antonio, TX 78229
Phone (210) 396-5270

400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416

Interoperability endpoints

  • Direct secure messaging: stephanie.villanueva.1@94.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1366074544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CONCORD PLAZA DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166991",
            "telephone_number": "210-804-5416",
            "fax_number": "210-678-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONCORD PLAZA DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166991",
            "telephone_number": "210-804-5920",
            "fax_number": "210-804-5924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Sonterra Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584184",
            "country_code": "US",
            "telephone_number": "210-804-5920",
            "fax_number": "210-804-5924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2829 Babcock Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782296015",
            "country_code": "US",
            "telephone_number": "210-804-5920",
            "fax_number": "210-804-5924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11212 State Highway 151 Ste 150",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514505",
            "country_code": "US",
            "telephone_number": "210-804-5920",
            "fax_number": "210-804-5924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144853",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP144853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.