Individual provider Active NPI

Nicole Paredes

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1487116703
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141253 Issued in TX
Practice address
4330 Medical Dr Ste 500
San Antonio, TX 78229-3318
Phone
(210) 558-0122
Fax
(210) 547-4909
NPI assigned
Apr 4, 2019
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 AP141253 TX Primary

Addresses

Primary practice location

4330 Medical Dr Ste 500
San Antonio, TX 78229-3318

Mailing address

17503 La Cantera Pkwy
# 104-404
San Antonio, TX 78257-8207
Phone (210) 558-0122

Other practice location 1

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

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
I20190429002519 TX Practitioner - Nurse Practitioner 2264774959 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Hill Country Wound Care Vascular and HyperbaricsGroup PAC ID 7618384629, 5 clinicians

Practice addresses (Care Compare)

12215 Toepperwein Rd
Live Oak, TX 78233-3149
Phone (210) 610-8154

6202 W Ave
San Antonio, TX 78213-2314
Phone (210) 802-1661

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.99 of 100Reported as individual
Quality
79.43
Improvement activities
0
Cost
75.12

Merit-based Incentive Payment System (MIPS)

Final score
96.65 of 100Reported as group
Quality
83.62
Promoting interoperability
100
Improvement activities
40
Cost
78.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates CurrentSince Oct 24, 2022 Accepting new patients
Hill Country Wound Care Vascular & Hyperbarics CurrentSince Nov 20, 2025 Accepting new patients
Advanced Clinician, Multispecialty Clinical Consultant Services, PLLC CurrentSince Jun 1, 2021 Accepting new patients
Pam Physician Enterprise CurrentSince Aug 13, 2021 Accepting new patients
Dabas Cancer Institute, P.a. PastSince Jun 13, 2022 Accepting new patients
Pam Squared at Dover LLC Past Accepting new patients

Locations (25 of 26)

32357 US Highway 281 N
Bulverde, TX 78163
Phone (210) 251-2024

32357 US Highway 281 N
Ste 101
Bulverde, TX 78163
Phone (830) 743-9728

12215 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 540-6766

10323 State Highway 151
San Antonio, TX 78251
Phone (210) 293-3123

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

11407 Wayland Way
San Antonio, TX 78233
Phone (210) 232-1023

14747 Jones Maltsberger Rd
San Antonio, TX 78247
Phone (210) 402-0029

17503 La Cantera Pkwy
#104404
San Antonio, TX 78257
Phone (210) 802-1661

17503 La Cantera Pkwy
Ste 104404
San Antonio, TX 78257

18803 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 982-4600

19126 Stonehue
San Antonio, TX 78258
Phone (210) 313-2509

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

4499 Medical Dr
San Antonio, TX 78229
Phone (210) 575-4325

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

4647 Medical Dr
San Antonio, TX 78229
Phone (210) 358-2710

5101 Medical Dr
San Antonio, TX 78229
Phone (210) 592-5438

5101 Medical Dr
Fl 3
San Antonio, TX 78229
Phone (210) 592-5349

5418 N Loop 1604 W
Fl 3
San Antonio, TX 78249
Phone (210) 921-3550

6202 West Ave
San Antonio, TX 78213
Phone (210) 300-6907

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7127 Somerset Rd
Ste 101
San Antonio, TX 78211
Phone (210) 626-8201

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

8501 Laurens Ln
San Antonio, TX 78218
Phone (210) 804-1223

8902 Floyd Curl Dr
San Antonio, TX 78240
Phone (210) 575-8003

9014 Timber Path
San Antonio, TX 78250
Phone (210) 523-2455

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1487116703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17503 LA CANTERA PKWY",
            "address_2": "# 104-404",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578207",
            "telephone_number": "210-558-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 MEDICAL DR STE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293318",
            "telephone_number": "210-558-0122",
            "fax_number": "210-547-4909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.