Individual provider Active NPI

Michelle Ruhnke, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1790498616
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1105865 Issued in TX
Practice address
4236 Thousand Oaks Dr Ste 101
San Antonio, TX 78217-1863
Phone
(210) 269-0654
NPI assigned
Jan 5, 2023
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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 1105865 TX Primary

Addresses

Primary practice location

4236 Thousand Oaks Dr Ste 101
San Antonio, TX 78217-1863

Mailing address

4236 Thousand Oaks Dr Ste 101
San Antonio, TX 78217-1959
Phone (210) 944-0917

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
I20230417002193 TX Practitioner - Nurse Practitioner 3476693607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Office ForceGroup PAC ID 9335481951, 58 clinicians

Practice addresses (Care Compare)

4236 Thousand Oaks Dr
Suite 101
San Antonio, TX 78217-1959
Phone (210) 269-0654

5915 Silver Springs Dr
BLDG 3a
El Paso, TX 79912-4126
Phone (706) 296-8632

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Office Force CurrentSince Jul 1, 2025 Accepting new patients
NP Healthcare, LLC CurrentSince Apr 3, 2023 Accepting new patients
Modern MD PLLC PastSince Dec 4, 2020 Accepting new patients

Locations

2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632

5915 Silver Springs Dr
Bldg 3A
El Paso, TX 79912
Phone (706) 296-8632

4236 Thousand Oaks Dr
Ste 101
San Antonio, TX 78217
Phone (210) 269-0654

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BACADD/Endpoint/BACADD

Organizations & group practices 3

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1790498616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 THOUSAND OAKS DR STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171959",
            "telephone_number": "210-944-0917",
            "fax_number": "210-864-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 THOUSAND OAKS DR STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171863",
            "telephone_number": "210-269-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUHNKE",
        "first_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1105865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.