Krystle Nicole De la Rosa, NP-C
Individual provider Active NPI Family Nurse Practitioner · Converse, TX
NPI 1366738015 · NPPES record last updated Jun 26, 2026
Key facts
- NPI
- 1366738015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 793780 (TX)
- Practice address
- 10419 Bulwark Peak
Converse, TX 78109-1988 - Phone
- (617) 416-8139
- NPI assigned
- Jun 21, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130215000123 | TX | Practitioner - Nurse Practitioner | 3678727872 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 793780 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Centro del Barrio, Inc. | Current |
Accepting new patients | |
| El Centro del Barrio, Inc. | Current |
Accepting new patients | |
| El Centro del Barrio, Inc. | Past | Accepting new patients |
Locations
6315 S Zarzamora St
San Antonio, TX 78211
Phone (210) 924-9254
3750 Commercial Ave
San Antonio, TX 78221
Phone (210) 334-3700
5542 Walzem Rd
Windcrest, TX 78218
Phone (210) 637-2450
Interoperability endpoints
- krystle.delarosa.p1@direct.centromed.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 793780 | TX | Yes |
Addresses
Primary practice location
10419 Bulwark Peak
Converse, TX 78109-1988
Mailing address
10419 Bulwark Peak
Converse, TX 78109-1988
Phone (617) 416-8139
Other providers in Converse, TX
- Crystal Clear Mental Wellness, LLC
- Tiffanie Yvonne Cuellar
- Shelvy Inez -Marie Curtis
- CVS Pharmacy Inc
- Ayriana Nichole Davis
- Christina Maria De Santiago
- Sarah Beth Dean
- Katyleydis NA Del Pino Caro
- Maria Ojeda Delagarza
- Jose de Jesus Arellano Delgadillo
All providers in Converse, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.