Individual provider Active NPI

Keeton Kelly Bower, RN

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1689383705
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1177118 Issued in TX
Practice address
10513 Marbach Rd Ste 102
San Antonio, TX 78245-1995
Phone
(210) 290-8081
NPI assigned
Nov 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1177118 TX Primary
Family Nurse Practitioner 363LF0000X 225947 AR

Addresses

Primary practice location

10513 Marbach Rd Ste 102
San Antonio, TX 78245-1995

Mailing address

142 Minnesota Cir
Jacksonville, AR 72076-1127
Phone (720) 900-7115

Other practice location 1

142 Minnesota Cir
Jacksonville, AR 72076-1127
Phone (720) 900-7115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240517002571 AR Practitioner - Nurse Practitioner 6608217815 Reassigns benefits to 1 organization
I20250305004391 TX Practitioner - Nurse Practitioner 6608217815 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andala Medical Texas PAGroup PAC ID 7416330436, 10 clinicians

Practice addresses (Care Compare)

4600 Lockhill Selma Rd
Suite 108
San Antonio, TX 78249-2186
Phone (833) 426-3252

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225947ARMDFamily Nurse Practitioner
1177118TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andala Medical Texas PA CurrentSince Jun 1, 2025 Accepting new patients
Sigma Pain Clinic PA CurrentSince Nov 1, 2025 Accepting new patients
Bahia Medical Urgent Care PLLC CurrentSince Feb 1, 2025 Accepting new patients
Texas Pain Professionals, PLLC PastSince Nov 1, 2025 Accepting new patients

Locations

11227 Toepperwein Rd
Ste 100
Live Oak, TX 78233

10513 Marbach Rd
Ste 102
San Antonio, TX 78245
Phone (210) 290-8081

4600 Lockhill Selma Rd
Ste 108
San Antonio, TX 78249
Phone (210) 783-0582

3415 Paesanos Pkwy
Ste 100
Shavano Park, TX 78231

Interoperability endpoints

  • Direct secure messaging: keeton.bower.1@25241.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12968/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1689383705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 MINNESOTA CIR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720761127",
            "telephone_number": "720-900-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10513 MARBACH RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451995",
            "telephone_number": "210-290-8081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Minnesota Cir",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AR",
            "postal_code": "720761127",
            "country_code": "US",
            "telephone_number": "720-900-7115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWER",
        "first_name": "KEETON",
        "middle_name": "KELLY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1177118",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "225947",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.