Active NPI
Cassie Rogers, NP-C
- Family Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1639723240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP142325
- Practice address
- 9647 Huebner Rd
San Antonio, TX 78240-1512 - Phone
- (210) 735-5225
- NPI assigned
- Jul 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP142325 | TX | Primary |
Addresses
Primary practice location
9647 Huebner Rd
San Antonio, TX 78240-1512
Mailing address
29710 Twin Creeks Dr
Bulverde, TX 78163-2406
Phone (210) 831-7107
Other names 1
- Cassie Fuller
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP142325 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis MD, PA | Current | Accepting new patients |
Locations
9647 Huebner Rd
San Antonio, TX 78240
Phone (210) 735-5225
15303 Huebner Rd
Ste 7
San Antonio, TX 78248
Phone (210) 759-1420
Organizations & group practices 1
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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1992505861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1639723240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29710 TWIN CREEKS DR",
"city": "BULVERDE",
"state": "TX",
"postal_code": "781632406",
"telephone_number": "210-831-7107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9647 HUEBNER RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401512",
"telephone_number": "210-735-5225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "CASSIE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-31",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP142325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSIE",
"last_name": "FULLER",
"credential": "NP-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.