Individual provider Active NPI

Arlene Vanessa Kasperkhan

  • Gerontology Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1609574763
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1111077 Issued in TX
Practice address
4438 Centerview
San Antonio, TX 78228-1440
Phone
(210) 280-0040
Fax
(212) 280-0060
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1111077 TX Primary

Addresses

Primary practice location

4438 Centerview
San Antonio, TX 78228-1440

Mailing address

4438 Centerview
San Antonio, TX 78228-1440
Phone (210) 280-0040

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
I20240430004099 TX Practitioner - Nurse Practitioner 0749620284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

4438 Centerview
San Antonio, TX 78228-1440
Phone (210) 280-0040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Sep 8, 2025 Accepting new patients
Greater Texas Palliative Care Services PLLC CurrentSince Aug 4, 2024 Accepting new patients
Mmcare - Hospice LLC CurrentSince Mar 1, 2024 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Sep 8, 2025 Accepting new patients
South Texas Healthcare Inc PastSince Feb 1, 2023 Accepting new patients
Jibrail Kasperkhan, M.D. PLLC PastSince Feb 1, 2023 Accepting new patients

Locations

3218 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 254-5119

4438 Centerview
San Antonio, TX 78228
Phone (210) 280-0040

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

4438 Centerview
#410
San Antonio, TX 78228
Phone (210) 280-0040

404 E Ramsey Rd
Ste 204
San Antonio, TX 78216
Phone (210) 462-1060

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHJJCA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1609574763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4438 CENTERVIEW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281440",
            "telephone_number": "210-280-0040",
            "fax_number": "212-280-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4438 CENTERVIEW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281440",
            "telephone_number": "210-280-0040",
            "fax_number": "212-280-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPERKHAN",
        "first_name": "ARLENE",
        "middle_name": "VANESSA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1111077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.