Individual provider Active NPI

Monica L Kincade, RN, ACNS-BC, AGPCNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1588998694
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP118224 Issued in TX
Practice address
603 E Amber St Ste 101
San Antonio, TX 78221-2456
Phone
(210) 610-7283
Fax
(210) 812-5938
NPI assigned
Sep 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 515807 TX
Family Nurse Practitioner 363LF0000X AP118224 TX Primary

Addresses

Primary practice location

603 E Amber St Ste 101
San Antonio, TX 78221-2456

Mailing address

603 E Amber St Ste 101
San Antonio, TX 78221-2456
Phone (210) 610-7283

Other identifiers 1

IdentifierTypeStateIssuer
281187902MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thesaveclinic@direct-address.net Direct San Antonio Vascular and Endovascular Clinic PLLC

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
I20091104000344 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 7810035391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Antonio Vascular and Endovascular Clinic PLLCGroup PAC ID 7911263744, 7 clinicians

Practice addresses (Care Compare)

603 E Amber St
Suite 101
San Antonio, TX 78221-2456
Phone (210) 610-7283

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
93
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP118224TXMDFamily Nurse Practitioner
515807TXMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Vascular and Endovascular Clinic PLLC CurrentSince Dec 1, 2018 Accepting new patients
South Texas Spinal Clinic, P.a. Past Accepting new patients
Varicose Vein Clinic - Northwest, P.a. Past Accepting new patients

Locations

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

260 US Highway 181 N
Ste 102
Floresville, TX 78114

1701 E State Highway 97
Jourdanton, TX 78026
Phone (210) 257-6151

205 N Oak St
Pearsall, TX 78061
Phone (830) 334-4142

1102 N Main St
Ste 2618
Pleasanton, TX 78064

919 Locke St
San Antonio, TX 78208
Phone (210) 644-8700

7616 Culebra Rd
Ste 130
San Antonio, TX 78251
Phone (210) 509-2603

603 E Amber St
Ste 101
San Antonio, TX 78221
Phone (210) 660-5040

590 N General McMullen Dr
San Antonio, TX 78228
Phone (210) 434-1054

7127 Somerset Rd
#102
San Antonio, TX 78211

7616 Culebra Rd
San Antonio, TX 78251
Phone (210) 423-3031

7127 Somerset Rd
Ste 102
San Antonio, TX 78211

3860 E Interstate Highway 10
San Antonio, TX 78220
Phone (210) 644-5000

Interoperability endpoints

  • Direct secure messaging: thesaveclinic@direct-address.net

Organizations & group practices 3

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": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1588998694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E AMBER ST STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782212456",
            "telephone_number": "210-610-7283",
            "fax_number": "210-812-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E AMBER ST STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782212456",
            "telephone_number": "210-610-7283",
            "fax_number": "210-812-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCADE",
        "first_name": "MONICA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RN, ACNS-BC, AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2021-11-29",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "515807",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP118224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281187902",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thesaveclinic@direct-address.net",
            "affiliation": "Y",
            "affiliationName": "San Antonio Vascular and Endovascular Clinic PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "603 E Amber St Ste 101",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782212456",
            "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.