Individual provider Active NPI

Eric I Hettler, PA-C

  • Physician Assistant
  • Windcrest, TX
National Provider Identifier
1821248303
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05495 Issued in TX
Practice address
5245 Walzem Rd
Windcrest, TX 78218-2122
Phone
(210) 654-9700
NPI assigned
Sep 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05495 TX Primary
Physician Assistant 363A00000X 1077591 TX

Addresses

Primary practice location

5245 Walzem Rd
Windcrest, TX 78218-2122

Mailing address

5245 Walzem Rd
Windcrest, TX 78218-2122
Phone (210) 654-9700

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
I20081118000727 TX Practitioner - Physician Assistant 7719047943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

18818 Meisner Dr
San Antonio, TX 78258-3568
Phone (210) 481-6800

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1077591TXMDPhysician Assistant
PA05495TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Apr 14, 2025 Accepting new patients
BHS Physicians Network, Inc CurrentSince Apr 14, 2025 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

1420 River Rd
Ste 200
Boerne, TX 78006
Phone (830) 816-2552

8223 Broadway
San Antonio, TX 78209
Phone (210) 828-0606

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

18818 Meisner Dr
San Antonio, TX 78258
Phone (210) 481-6800

Interoperability endpoints

  • Direct secure messaging: eric.hettler.1@1438.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1821248303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 WALZEM RD",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782182122",
            "telephone_number": "210-654-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 WALZEM RD",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782182122",
            "telephone_number": "210-654-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETTLER",
        "first_name": "ERIC",
        "middle_name": "I",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05495",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "1077591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windcrest, TX

Sources for this page

Verify at the official NPI Registry.