Individual provider Active NPI

Melissa Ortiz, MSN, FNP-C

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1780186601
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP136749 Issued in TX
Practice address
1205 N Loop 1604 W Ste 232
San Antonio, TX 78258-4631
Phone
(210) 319-2900
Fax
(210) 319-2929
NPI assigned
Mar 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP136749 TX Primary

Addresses

Primary practice location

1205 N Loop 1604 W Ste 232
San Antonio, TX 78258-4631

Mailing address

18046 Crystal KNL
San Antonio, TX 78258-3316
Phone (210) 326-4614

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
I20180703000862 TX Practitioner - Nurse Practitioner 1557617651 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP136749TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Track Urgent Care Nurse Practitioner CurrentSince Oct 22, 2024 Accepting new patients
Fast Track Urgent Care - Bastrop Nurse Practitioner CurrentSince Oct 22, 2024 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Nurse Practitioner CurrentSince May 1, 2018 Accepting new patients
Complete Care Medical Associates CurrentSince Apr 1, 2019 Accepting new patients

Locations

17910 Bulverde Rd
Ste 115
San Antonio, TX 78259
Phone (210) 906-8478

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

7330 San Pedro Ave
Ste 540
San Antonio, TX 78216
Phone (210) 344-2673

12446 West Ave
Ste 200
San Antonio, TX 78216
Phone (210) 690-0230

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.

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1780186601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18046 CRYSTAL KNL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583316",
            "telephone_number": "210-326-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N LOOP 1604 W STE 232",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584631",
            "telephone_number": "210-319-2900",
            "fax_number": "210-319-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MELISSA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP136749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.