Individual provider Active NPI

Marissa Sunnekalb, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1760164578
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1225151 Issued in TX
Practice address
1567 Goliad Rd
San Antonio, TX 78223-2719
Phone
(726) 240-6950
Fax
(210) 761-3397
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 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 1225151 TX Primary

Addresses

Primary practice location

1567 Goliad Rd
San Antonio, TX 78223-2719

Mailing address

1567 Goliad Rd
San Antonio, TX 78223-2719
Phone (726) 240-6950

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marissa.sunnekalb.2@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231020002426 FL Practitioner - Nurse Practitioner 6103272521 Reassigns benefits to 1 organization
I20260414003945 TX Practitioner - Nurse Practitioner 6103272521 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
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

Practice addresses (Care Compare)

1567 Goliad Rd
Conviva Care Center
San Antonio, TX 78223-2719
Phone (210) 764-5604

5151 N 9TH Ave
Suite 200
Pensacola, FL 32504-8721
Phone (850) 416-4188

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1225151TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Oct 6, 2023 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Sacred Heart Health System Inc CurrentSince Oct 6, 2023 Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

5151 N 9th Ave
Ste 200
Pensacola, FL 32504
Phone (850) 416-4188

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1760164578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 GOLIAD RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782232719",
            "telephone_number": "726-240-6950",
            "fax_number": "210-761-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 GOLIAD RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782232719",
            "telephone_number": "726-240-6950",
            "fax_number": "210-761-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNNEKALB",
        "first_name": "MARISSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1225151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marissa.sunnekalb.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1567 Goliad Rd",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782232719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.