Individual provider Active NPI

Ryan Patrick Wencl, APRN

  • Primary Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1740936046
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1071739 Issued in TX
Practice address
10865 Shaenfield Rd
San Antonio, TX 78254-9616
Phone
(210) 698-7825
NPI assigned
Feb 24, 2022
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1071739 TX Primary

Addresses

Primary practice location

10865 Shaenfield Rd
San Antonio, TX 78254-9616

Mailing address

12031 Shotgun Way
Helotes, TX 78023-4432
Phone (817) 994-2592

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
I20220912002034 TX Practitioner - Nurse Practitioner 6103201116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
MP MD PAGroup PAC ID 0547697849, 2 clinicians

Practice addresses (Care Compare)

10865 Shaenfield Rd
Suite 1101
San Antonio, TX 78254-9617
Phone (210) 698-7825

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1071739TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MP MD PA CurrentSince Jun 1, 2022 Accepting new patients
Pinkston Family Practice PastSince Feb 27, 2022 Accepting new patients

Locations

10865 Shaenfield Rd
Ste 1101
San Antonio, TX 78254
Phone (210) 688-7735

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.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1740936046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12031 SHOTGUN WAY",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234432",
            "telephone_number": "817-994-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10865 SHAENFIELD RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782549616",
            "telephone_number": "210-698-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENCL",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1071739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.