Individual provider Active NPI

Elizabeth Perez Acosta

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1427615228
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1143900 Issued in TX
Practice address
122 Saint Cloud Rd
San Antonio, TX 78228-5009
Phone
(726) 240-6949
Fax
(210) 761-3397
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 945533 TX
Family Nurse Practitioner 363LF0000X 1143900 TX Primary

Addresses

Primary practice location

122 Saint Cloud Rd
San Antonio, TX 78228-5009

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (726) 240-6949

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.perez.acosta.1@29601.direct.athenahealth.com Direct

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
I20250530001579 TX Practitioner - Nurse Practitioner 8123537347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management of Texas, P.a.Group PAC ID 8729302278, 146 clinicians

Practice addresses (Care Compare)

122 Saint Cloud Rd
San Antonio, TX 78228-5009
Phone (210) 764-5605

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
945533TXMDHome Health Registered Nurse
1143900TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management of Texas, P.a. CurrentSince Apr 28, 2025 Accepting new patients
Centerwell Senior Primary Care (SC) PC CurrentSince Apr 28, 2025 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

122 Saint Cloud Rd
San Antonio, TX 78228
Phone (210) 761-3393

Interoperability endpoints

  • Direct secure messaging: elizabeth.perez.acosta.1@29601.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1427615228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "726-240-6949",
            "fax_number": "210-761-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SAINT CLOUD RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782285009",
            "telephone_number": "726-240-6949",
            "fax_number": "210-761-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ ACOSTA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "945533",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1143900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.perez.acosta.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "122 Saint Cloud Rd",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782285009",
            "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.