Individual provider Active NPI

Joanne Michele Minnick, DNP, APRN, ACNP-BC,

  • Acute Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1508145152
Registry record updated Sep 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
6651524 Issued in TX
Practice address
7500 Callaghan Rd Apt 186
San Antonio, TX 78229-2830
Phone
(175) 781-8415
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 6651524 TX Primary

Addresses

Primary practice location

7500 Callaghan Rd Apt 186
San Antonio, TX 78229-2830

Mailing address

134 Cool Rock
Boerne, TX 78006-2998
Phone (210) 332-7618

Other practice location 1

7909 Fredericksburg Rd
110
San Antonio, TX 78229-3425
Phone (210) 614-4454 ext. 1025

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
I20120705000650 TX Practitioner - Nurse Practitioner 3476718099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6651524TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Panther Inpatient Care PLLC CurrentSince Oct 1, 2019 Accepting new patients

Locations

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

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569715200000",
    "number": "1508145152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 COOL ROCK",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062998",
            "telephone_number": "210-332-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 CALLAGHAN RD APT 186",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292830",
            "telephone_number": "175-781-8415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7909 Fredericksburg Rd",
            "address_2": "110",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293425",
            "country_code": "US",
            "telephone_number": "210-614-4454 x1025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINNICK",
        "first_name": "JOANNE",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, ACNP-BC,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2019-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "6651524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.