Individual provider Active NPI

Michelle Oetjens, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1821622937
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1226886 Issued in TX
Practice address
12047 FM 1957 Ste 105
San Antonio, TX 78253-9244
Phone
(210) 571-1338
Fax
(210) 571-1338
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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 1226886 TX Primary

Addresses

Primary practice location

12047 FM 1957 Ste 105
San Antonio, TX 78253-9244

Mailing address

12047 FM 1957 Ste 105
San Antonio, TX 78253-9244
Phone (210) 571-1338

Other practice location 1

11841 Alamo Ranch Pkwy Ste 101
San Antonio, TX 78253-4185
Phone (210) 570-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220511000069 DC Practitioner - Nurse Practitioner 0446660385 Reassigns benefits to 1 organization
I20240531002417 NM Practitioner - Nurse Practitioner 0446660385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

2200 W 21St St
Clovis, NM 88101-2011
Phone (505) 769-7577

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
79.78
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1226886TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Physician Services, Inc. CurrentSince May 15, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 4, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 4, 2024 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients
Alamo Primary Care of Potranco PLLC PastSince Apr 1, 2023 Accepting new patients
Access Medical Group LLC Past Accepting new patients
Meritra Physicians LLC Past Accepting new patients

Locations

820 W Diamond Ave
Gaithersburg, MD 20878
Phone (301) 315-3030

6 Montgomery Village Ave
Ste 402
Gaithersburg, MD 20879
Phone (301) 948-0098

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

Interoperability endpoints

  • Direct secure messaging: moetjens251458@direct.phs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCDBDD

Organizations & group practices 7

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": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1821622937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12047 FM 1957 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782539244",
            "telephone_number": "210-571-1338",
            "fax_number": "210-571-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12047 FM 1957 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782539244",
            "telephone_number": "210-571-1338",
            "fax_number": "210-571-1338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11841 Alamo Ranch Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782534185",
            "country_code": "US",
            "telephone_number": "210-570-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OETJENS",
        "first_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1226886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.