Individual provider Active NPI

Suzanne Krause, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1407209133
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131371 Issued in TX
Practice address
19179 Blanco Rd
Ste 105-198
San Antonio, TX 78258-4042
Phone
(714) 875-2558
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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 AP131371 TX Primary

Addresses

Primary practice location

19179 Blanco Rd
Ste 105-198
San Antonio, TX 78258-4042

Mailing address

19179 Blanco Rd
Ste 105-198
San Antonio, TX 78258-4042

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
I20161129000290 TX Practitioner - Nurse Practitioner 7911287404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panther Inpatient Care PLLCGroup PAC ID 6901080183, 14 clinicians

Practice addresses (Care Compare)

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP131371TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Panther Inpatient Care PLLC CurrentSince Feb 25, 2017 Accepting new patients

Locations

403 Treeline Park
San Antonio, TX 78209
Phone (210) 294-8000

222 Bertetti Dr
San Antonio, TX 78227
Phone (210) 673-1700

307 W Cypress St
San Antonio, TX 78212
Phone (210) 223-5521

18514 Sonterra Pl
San Antonio, TX 78258
Phone (210) 545-4800

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

5756 N Knoll
San Antonio, TX 78240
Phone (210) 321-5200

Organizations & group practices 1

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 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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1407209133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19179 BLANCO RD",
            "address_2": "STE 105-198",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19179 BLANCO RD",
            "address_2": "STE 105-198",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584042",
            "telephone_number": "714-875-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "SUZANNE",
        "credential": "MSN, RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.