Individual provider Active NPI

Diane M Ziliox, APRN, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1811693179
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1085421 Issued in TX
Practice address
7500 Barlite Blvd Ste 201
San Antonio, TX 78224-1395
Phone
(210) 921-3939
Fax
(210) 921-3941
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 809516 TX
Family Nurse Practitioner 363LF0000X 1085421 TX Primary

Addresses

Primary practice location

7500 Barlite Blvd Ste 201
San Antonio, TX 78224-1395

Mailing address

7500 Barlite Blvd Ste 201
San Antonio, TX 78224-1395
Phone (210) 921-3939

Other identifiers 1

IdentifierTypeStateIssuer
06463449OtherTXDRIVERS LICENSE

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
I20230301000291 TX Practitioner - Nurse Practitioner 3375916026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

7500 Barlite Blvd
Suite 201
San Antonio, TX 78224-1361
Phone (210) 921-3939

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
809516TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Jul 8, 2024 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jul 8, 2024 Accepting new patients

Locations

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

7500 Barlite Blvd
Ste 201
San Antonio, TX 78224
Phone (210) 921-3939

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: diane.ziliox@wellmed.eclinicaldirectplus.com

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": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1811693179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 BARLITE BLVD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241395",
            "telephone_number": "210-921-3939",
            "fax_number": "210-921-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BARLITE BLVD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241395",
            "telephone_number": "210-921-3939",
            "fax_number": "210-921-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILIOX",
        "first_name": "DIANE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "809516",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1085421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "06463449",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.