Individual provider Active NPI

Nicole Marie Sanders, FNP-C

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1386154722
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP135263 Issued in TX
Practice address
4411 Medical Dr Ste 300
San Antonio, TX 78229-3824
Phone
(210) 614-5400
Fax
(210) 614-2413
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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 AP135263 TX
Nurse Practitioner 363L00000X AP135263 TX Primary

Addresses

Primary practice location

4411 Medical Dr Ste 300
San Antonio, TX 78229-3824

Mailing address

4411 Medical Dr Ste 300
San Antonio, TX 78229-3824
Phone (210) 614-5400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NICOLE.SANDERS@hca7.eclinicaldirectplus.com

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
I20171213001819 TX Practitioner - Nurse Practitioner 4688932049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinic of San Antonio, PLLCGroup PAC ID 1153517420, 125 clinicians

Practice addresses (Care Compare)

4411 Medical Dr
Suite 120
San Antonio, TX 78229-3829
Phone (210) 614-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.32 of 100Reported as group
Quality
75.23
Promoting interoperability
99
Improvement activities
40
Cost
76.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Clinic of San Antonio, PLLC CurrentSince Jul 1, 2019 Accepting new patients
San Antonio Cardiology Clinic PA Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

134 Menger Spgs
Ste 1370
Boerne, TX 78006
Phone (830) 331-8000

4411 Medical Dr
Ste 120
San Antonio, TX 78229

4411 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 582-5145

5510 Presidio Pkwy
Ste 2211B
San Antonio, TX 78249

Interoperability endpoints

  • Direct secure messaging: 3210-sanders-nicole@direct.leadingreach.com

Organizations & group practices 2

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 4

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1386154722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293824",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293824",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135263",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP135263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NICOLE.SANDERS@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4411 Medical Dr Ste 300",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782293824",
            "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.