Individual provider Active NPI

Traceen Eileen Driskill, FNP-BC

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1730720996
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP14399 Issued in TX
Practice address
150 E Sonterra Blvd Ste 170
San Antonio, TX 78258-4022
Phone
(210) 481-2800
Fax
(210) 481-2834
NPI assigned
Sep 30, 2019
Last updated
Nov 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP14399 TX Primary

Addresses

Primary practice location

150 E Sonterra Blvd Ste 170
San Antonio, TX 78258-4022

Mailing address

PO Box 1346
San Antonio, TX 78295-1346

Other practice location 1

17238 Bulverde Rd
San Antonio, TX 78247-2401
Phone (210) 938-9355

Other practice location 2

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-0638

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
I20200115001416 TX Practitioner - Nurse Practitioner 6305271644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert a Zajac MD PAGroup PAC ID 6204831498, 6 clinicians

Practice addresses (Care Compare)

150 E Sonterra Blvd
Suite 170
San Antonio, TX 78258-4022
Phone (210) 481-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.18 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP14399TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Robert a Zajac MD PA CurrentSince Jun 1, 2022 Accepting new patients

Locations

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

150 E Sonterra Blvd
Ste 170
San Antonio, TX 78258
Phone (210) 481-2800

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

Interoperability endpoints

  • Direct secure messaging: traceen.driskill@5057904836612.direct.elationemr.com

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.

Hospital & facility affiliations 2

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1730720996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1346",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782951346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SONTERRA BLVD STE 170",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584022",
            "telephone_number": "210-481-2800",
            "fax_number": "210-481-2834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17238 Bulverde Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782472401",
            "country_code": "US",
            "telephone_number": "210-938-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7700 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293902",
            "country_code": "US",
            "telephone_number": "210-575-0638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRISKILL",
        "first_name": "TRACEEN",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP14399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.