Derek Jason Reyes, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1071799 Issued in TX

Practice address

17 Old San Antonio Rd
Boerne, TX 78006-3414

Phone

(830) 267-4575

NPI assigned

Feb 25, 2022

Last updated

Feb 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lakeway Medical Clinic LLCGroup PAC ID 3274055793, 3 clinicians

Visiting Practitioners and Palliative Care LLCGroup PAC ID 6305276288, 5 clinicians

Inpatient Progressive Health of America, PLLCGroup PAC ID 5698072320, 72 clinicians

Centric Physicians Group PLLCGroup PAC ID 1951614726, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Theracare Home Health Home health agency, San Antonio, TX, CCN 677248
• SDQ Healthcare Services LLC Home health agency, Mission, TX, CCN 748106
• Beyondfaith Homecare & Rehab San Antonio Home health agency, San Antonio, TX, CCN 747518

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Coe-Medical PLLC

  • Family Medicine Physician
  • Boerne, TX
  • NPI 1073907184
  Medicare reassignment Care Compare group NPD
• Inpatient Progressive Health of America, PLLC

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1417321076
  Medicare reassignment Care Compare group NPD
• Lakeway Medical Clinic, LLC

  • Family Medicine Physician
  • Lakeway, TX
  • NPI 1265190235
  Medicare reassignment Care Compare group NPD
• Visiting Practitioners & Palliative Care LLC

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1063043255
  Medicare reassignment Care Compare group
• Healthdrive Medical Services of Texas LLC

  • Nurse Practitioner
  • Fort Worth, TX
  • NPI 1457132169
  Medicare reassignment NPD
• Healthdrive Medical Services Southeast LLC

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1437930146

  Family, TX

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beyondfaith Homecare & Rehab of Abilene, L.L.C.

  dba BeyondFaith Homecare & Rehab of San Antonio

  • Home Health Agency
  • San Antonio, TX
  • NPI 1417285719
  Care Compare affiliation
• Cantex Home Health Fort Worth LLC

  dba TheraCare Home Health

  • Home Health Agency
  • San Antonio, TX
  • NPI 1356782536
  Care Compare affiliation
• SDQ Healthcare Services LLC

  • Home Health Agency
  • Mission, TX
  • NPI 1174230536
  Care Compare affiliation

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1598411779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 BELMARK CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582505",
            "telephone_number": "956-266-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 OLD SAN ANTONIO RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063414",
            "telephone_number": "830-267-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "DEREK",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1071799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Renfroe
• Dianna Resendiz, LVN
• Retrouvaille LLC (Alethia Counseling Center Boerne)
• Amanda Stephenson Reyes, MSN, FNP-BC
• Arlene Reyes, MD
• Ramon Gilberto Reyes, M.D.
• James David Reynolds, LPC
• Maria Concetta Rhadbane, FNP
• John P Rheiner, MD
• Richard E Duey MD PA

• Family Nurse Practitioner in Boerne, TX
• Providers in Boerne, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.