Individual provider Active NPI

Kelly Lynn Nunemaker, APRN

  • Family Nurse Practitioner
  • Shavano Park, TX
National Provider Identifier
1629567896
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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 AP137130 TX Primary

Addresses

Primary practice location

4118 Pond Hill Rd
Shavano Park, TX 78231-1281

Mailing address

4118 Pond Hill Rd Ste 300
Shavano Park, TX 78231-1282
Phone (210) 494-3739

Other practice location 1

101 Woods Of Boerne Blvd Ste 100
Boerne, TX 78006-2881
Phone (210) 494-3739

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
I20180718003889 TX Practitioner - Nurse Practitioner 0042567224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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)

4118 Pond Hill Rd
Suite 300
Shavano Park, TX 78231-1282
Phone (210) 494-3739

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Associates, P.a. CurrentSince Sep 1, 2022 Accepting new patients
Diabetes and Metabolism Specialists CurrentSince Oct 1, 2024 Accepting new patients

Locations

1051 US Highway 90 E
Castroville, TX 78009
Phone (830) 931-3336

1434 E Sonterra Blvd
Ste 206
San Antonio, TX 78258
Phone (210) 402-3456

525 Oak Centre Dr
Ste 320
San Antonio, TX 78258
Phone (210) 494-3739

4118 Pond Hill Rd
Ste 300
Shavano Park, TX 78231
Phone (210) 494-3739

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1629567896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 POND HILL RD STE 300",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311282",
            "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": [
        {
            "address_1": "101 Woods Of Boerne Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780062881",
            "country_code": "US",
            "telephone_number": "210-494-3739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEMAKER",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shavano Park, TX

Sources for this page

Verify at the official NPI Registry.