Individual provider Active NPI

Bethany Concepcion, FNP

  • Family Nurse Practitioner
  • Boerne, TX
National Provider Identifier
1700660115
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1051971 Issued in TX
Practice address
114 Wickersham
Boerne, TX 78015-5223
Phone
(210) 380-2788
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 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 1051971 TX Primary

Addresses

Primary practice location

114 Wickersham
Boerne, TX 78015-5223

Mailing address

114 Wickersham
Boerne, TX 78015-5223
Phone (323) 899-6607

Other practice location 1

15052 San Pedro Ave
San Antonio, TX 78232-3714
Phone (210) 941-2282

Other names 1

  • Bethany Sherman Former name

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
I20250107004254 TX Practitioner - Nurse Practitioner 8123556958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamo City Urgent Care, LLCGroup PAC ID 8123370871, 12 clinicians

Practice addresses (Care Compare)

8110 W Loop 1604
Suite 102
San Antonio, TX 78254-6824
Phone (210) 951-4321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1051971TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo City Urgent Care, LLC CurrentSince Dec 16, 2024 Accepting new patients

Locations

8110 W Loop 1604 N
Ste 102
San Antonio, TX 78254
Phone (210) 951-4321

8223 Marbach Rd
Ste 102
San Antonio, TX 78227
Phone (210) 762-5141

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.

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1700660115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WICKERSHAM",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780155223",
            "telephone_number": "323-899-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WICKERSHAM",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780155223",
            "telephone_number": "210-380-2788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15052 San Pedro Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782323714",
            "country_code": "US",
            "telephone_number": "210-941-2282",
            "fax_number": "726-233-8775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "BETHANY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1051971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "SHERMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.