Individual provider Active NPI

Stephanie Ann Garza

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1518583186
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1000132 Issued in TX
Practice address
8542 Wurzbach Rd
San Antonio, TX 78240-1241
Phone
(210) 616-7300
Fax
(210) 616-7359
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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 1000132 TX Primary

Addresses

Primary practice location

8542 Wurzbach Rd
San Antonio, TX 78240-1241

Mailing address

2961 Mossrock
San Antonio, TX 78230-5119
Phone (210) 731-4800

Other practice location 1

9915 Powhatan Dr Apt 4D
San Antonio, TX 78230-2227
Phone (956) 319-7035

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
I20210105000015 TX Practitioner - Nurse Practitioner 0042623498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Primecare, IncGroup PAC ID 8628073236, 70 clinicians

Practice addresses (Care Compare)

8542 Wurzbach Rd
Physician Primecare Wurzbach
San Antonio, TX 78240-1241
Phone (210) 616-7300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1000132TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Primecare, Inc CurrentSince Jan 4, 2021 Accepting new patients

Locations

911 Castroville Rd
San Antonio, TX 78237
Phone (210) 436-7402

8542 Wurzbach Rd
San Antonio, TX 78240
Phone (210) 616-7300

2911 S New Braunfels Ave
San Antonio, TX 78210
Phone (210) 377-1133

2961 Mossrock
San Antonio, TX 78230
Phone (210) 731-4800

Interoperability endpoints

  • Direct secure messaging: stephanie.garza@htmg.eclinicaldirectplus.com

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": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1518583186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 MOSSROCK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305119",
            "telephone_number": "210-731-4800",
            "fax_number": "210-731-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8542 WURZBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401241",
            "telephone_number": "210-616-7300",
            "fax_number": "210-616-7359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9915 Powhatan Dr Apt 4D",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782302227",
            "country_code": "US",
            "telephone_number": "956-319-7035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1000132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.