Individual provider Active NPI

Phoebe Angalot Magdales, APRN-CNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1376366013
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1179327 Issued in TX
Practice address
8115 Datapoint Dr Ste 200
San Antonio, TX 78229-3745
Phone
(210) 614-7900
Fax
(210) 615-1211
NPI assigned
Nov 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1179327 TX
Family Nurse Practitioner 363LF0000X 1179327 TX Primary

Addresses

Primary practice location

8115 Datapoint Dr Ste 200
San Antonio, TX 78229-3745

Mailing address

PO Box 650002
Dept 8286
Dallas, TX 75265-0002
Phone (210) 212-8622

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pmagdales@strcg.eclinicaldirectplus.com Health Information Exchange (HIE)

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
I20250207000091 TX Practitioner - Nurse Practitioner 2466982368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Reza Mizani MD PAGroup PAC ID 5294709689, 28 clinicians

Practice addresses (Care Compare)

8115 Datapoint Dr
Suite 200
San Antonio, TX 78229-3745
Phone (210) 614-7900

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1179327TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M. Reza Mizani, M.D., P.a. CurrentSince Jan 1, 2025 Accepting new patients
M. Reza Mizani, M.D., P.a. CurrentSince Jan 1, 2025 Accepting new patients
M. Reza Mizani, M.D., P.a. Past Accepting new patients

Locations

205 22nd St
Hondo, TX 78861
Phone (830) 426-2753

215 N San Saba
Ste 301
San Antonio, TX 78207
Phone (210) 212-8984

343 W Houston St
Ste 609
San Antonio, TX 78205
Phone (210) 212-4595

8115 Datapoint Dr
Ste 200
San Antonio, TX 78229

Interoperability endpoints

  • Direct secure messaging: pmagdales@strcg.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1376366013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650002",
            "address_2": "DEPT 8286",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650002",
            "telephone_number": "210-212-8622",
            "fax_number": "210-212-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 DATAPOINT DR STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293745",
            "telephone_number": "210-614-7900",
            "fax_number": "210-615-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDALES",
        "first_name": "PHOEBE",
        "middle_name": "ANGALOT",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1179327",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1179327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmagdales@strcg.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8115 Datapoint Dr Ste 200",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782293745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.