Kelly Lynn Nunemaker, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP137130 Issued in TX

Practice address

4118 Pond Hill Rd
Shavano Park, TX 78231-1281

Phone

(210) 494-4508

Fax

(210) 494-4508

NPI assigned

May 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diabetes and Metabolism SpecialistsGroup PAC ID 5496751273, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Diabetes and Metabolism Specialists

  • Endocrinology, Diabetes & Metabolism Physician
  • Shavano Park, TX
  • NPI 1629099247
  Medicare reassignment Care Compare group NPD
• Medcare Associates, P.a.

  • Internal Medicine Physician
  • Bandera, TX
  • NPI 1215025598
  Medicare reassignment NPD

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1629567896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 POND HILL RD",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311281",
            "telephone_number": "210-494-3739",
            "fax_number": "210-494-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 POND HILL RD",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311281",
            "telephone_number": "210-494-4508",
            "fax_number": "210-494-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEMAKER",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS NURSING BOARD",
            "identifier": "AP137130",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Next Generation Orthopedic & Spine Institute Nextgen Orthopedic
• Nidraveda, P.a.
• Ivette Angelica Nienstedt
• Northrup Family Counseling, Inc
• George R Northrup, PH.D.
• O'Cana Life Works, LLC
• Maame S Obiri-Boateng, PMHNP
• Guillermo Arturo Olivarez, RN
• Amy Michelle Olvera, ACAGNP
• Oordt Therapeutic Services, Inc

• Family Nurse Practitioner in Shavano Park, TX
• Providers in Shavano Park, 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 Oct 2, 2024; 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.