Individual provider Active NPI

Maryssa L St. Clair, FNP-C

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1811878242
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1212936 Issued in TX
Practice address
22315 White Doe Pass
San Antonio, TX 78255-2410
Phone
(361) 800-3679
NPI assigned
Sep 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 1212936 TX Primary

Addresses

Primary practice location

22315 White Doe Pass
San Antonio, TX 78255-2410

Mailing address

22315 White Doe Pass
San Antonio, TX 78255-2410
Phone (361) 800-3679

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
I20260107002336 TX Practitioner - Nurse Practitioner 7719463082 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apexmed PLLCGroup PAC ID 3678842978, 21 clinicians

Practice addresses (Care Compare)

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1212936TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apexmed Primary Care Shavano CurrentSince Mar 1, 2026 Accepting new patients
Apexcare PLLC CurrentSince Jan 5, 2026 Accepting new patients
Apexmed, PLLC CurrentSince Jan 5, 2026 Accepting new patients

Locations

4318 De Zavala Rd
Bldg 3
San Antonio, TX 78249
Phone (210) 892-0224

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

4085 De Zavala Rd
Ste 200
Shavano Park, TX 78249
Phone 2105586288123

4085 De Zavala Rd
Ste 150
Shavano Park, TX 78249
Phone (210) 368-6614

4085 De Zavala Rd
#150
Shavano Park, TX 78249

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1811878242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22315 WHITE DOE PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782552410",
            "telephone_number": "361-800-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22315 WHITE DOE PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782552410",
            "telephone_number": "361-800-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. CLAIR",
        "first_name": "MARYSSA",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1212936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.