Active NPI
Bryan Lee Ishmael, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Kerrville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1167768
- Practice address
- 575 Hill Country Dr Ste 101
Kerrville, TX 78028-6024 - Phone
- (830) 258-7090
- NPI assigned
- Jun 27, 2024
- Sex
- Male
- 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 | 1167768 | TX | Primary |
Addresses
Primary practice location
575 Hill Country Dr Ste 101
Kerrville, TX 78028-6024
Mailing address
575 Hill Country Dr Ste 101
Kerrville, TX 78028-6024
Phone (830) 258-7090
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peterson Medical Associates | Current | Accepting new patients |
Locations
575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237
575 Hill Country Dr
Ste 101
Kerrville, TX 78028
Phone (830) 258-7090
535 Hill Country Dr
Ste 201
Kerrville, TX 78028
Phone (830) 258-6249
Interoperability endpoints
- bryan.ishmael.1@21041.direct.athenahealth.com
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.
-
- Obstetrics & Gynecology Physician
- Kerrville, TX
- NPI 1770800575
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
-
- Rural Acute Care Hospital
- Kerrville, TX
- NPI 1790782704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1730924085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 HILL COUNTRY DR STE 101",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780286024",
"telephone_number": "830-258-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 HILL COUNTRY DR STE 101",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780286024",
"telephone_number": "830-258-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHMAEL",
"first_name": "BRYAN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-27",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1167768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kerrville, TX
- In Gods Hands Christian Counseling PC C/O Patricia J. Fernandez
- Inland Valley Anesthesia, PLLC
- Innovacare Texas Physicians Group, PLLC
- Innovacare Texas Urgent Care PLLC
- Linda M. Irion, R.D., L.D.
- J M Barnett MD PA
- Jackson Clinic of Chiropractic, Inc.
- Camilla Vawn Jackson, LMFT, LPC
- Cynthia Lynn Jackson, PT
- Devin Nicole Jackson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.