Individual provider Active NPI

Kirsten Fikes, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1760737126
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA06863 Issued in TX
Practice address
3107 TPC Pkwy Ste 102
San Antonio, TX 78259-2396
Phone
(210) 240-4854
Fax
(830) 438-1842
NPI assigned
Jul 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA06863 TX Primary

Addresses

Primary practice location

3107 TPC Pkwy Ste 102
San Antonio, TX 78259-2396

Mailing address

3107 TPC Pkwy Ste 102
San Antonio, TX 78259-2396
Phone (210) 240-4854

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
I20140317001515 TX Practitioner - Physician Assistant 2365673340 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Nov 18, 2013 Accepting new patients
Sports and Family Medicine of Boerne PA Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Wellmed Medical Group, PA Past Accepting new patients

Locations

8711 Village Dr
Ste 114
San Antonio, TX 78217
Phone (210) 297-2244

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: kirsten.fikes.1@12476.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12476/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1760737126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 TPC PKWY STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592396",
            "telephone_number": "210-240-4854",
            "fax_number": "830-438-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 TPC PKWY STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592396",
            "telephone_number": "210-240-4854",
            "fax_number": "830-438-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIKES",
        "first_name": "KIRSTEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.