Individual provider Active NPI

Raquel Garcia-Priestly, DNP, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1750987327
Registry record updated Feb 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1016145 Issued in TX
Practice address
8550 Huebner Rd
San Antonio, TX 78240-1803
Phone
(210) 541-5300
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1016145 TX Primary

Addresses

Primary practice location

8550 Huebner Rd
San Antonio, TX 78240-1803

Mailing address

8550 Huebner Rd
San Antonio, TX 78240-1803
Phone (210) 541-5300

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
I20210824002101 TX Practitioner - Nurse Practitioner 7719382142 Reassigns benefits to 1 organization

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
West Texas Centers for MHMRGroup PAC ID 3971587502, 14 clinicians

Practice addresses (Care Compare)

1501 W 11TH PL
Suite 104
Big Spring, TX 79720-4122
Phone (432) 263-0027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1016145TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Centers for MHMR CurrentSince Sep 1, 2022 Accepting new patients
Pak Medical Group, PLLC PastSince Oct 1, 2020 Accepting new patients

Locations

409 Runnels St
Big Spring, TX 79720
Phone (432) 264-2650

1501 W 11th Pl
Ste 104
Big Spring, TX 79720
Phone (432) 263-0027

700 W Daggett St
Ste 4
Pecos, TX 79772
Phone (432) 447-2628

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1750987327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401803",
            "telephone_number": "210-541-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401803",
            "telephone_number": "210-541-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-PRIESTLY",
        "first_name": "RAQUEL",
        "credential": "DNP, APRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1016145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.