Individual provider Active NPI

Calvin Reed Plummer III, AG-ACNP-BC

  • Acute Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1821749367
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1064077 Issued in TX
Practice address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone
(210) 358-4000
NPI assigned
Jan 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1064077 TX Primary

Addresses

Primary practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Mailing address

903 W Martin St # Ms 49-2
San Antonio, TX 78207-0903
Phone (210) 358-5909

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
I20230217001047 TX Practitioner - Nurse Practitioner 4082658554 Reassigns benefits to 5 organizations

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
Bexar Physician Services, PLLCGroup PAC ID 6305298720, 23 clinicians
Community Medicine AssociatesGroup PAC ID 7719979509, 590 clinicians
Gulf Coast Physician Services, PLLCGroup PAC ID 7214388826, 104 clinicians
South Texas Physician Services, PLLCGroup PAC ID 5890145783, 57 clinicians

Practice addresses (Care Compare)

11212 State Hwy 151
San Antonio, TX 78251-4498
Phone (210) 703-8000

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-2015

5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone (361) 985-5000

600 N Union Ave
New Braunfels, TX 78130-4194
Phone (830) 606-9111

Hospital & facility affiliations

  • University Health System Hospital, San Antonio, TX, CCN 450213
  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046
  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bandera County Current Accepting new patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Feb 20, 2023 Accepting new patients
Gulf Coast Physician Services, PLLC CurrentSince Jan 20, 2026 Accepting new patients
Community Medicine Associates CurrentSince Nov 19, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Feb 20, 2023 Accepting new patients
South Texas Physician Services, PLLC CurrentSince Feb 25, 2025 Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

4502 Medical Dr
Dallas, TX 75373

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

Interoperability endpoints

  • Direct secure messaging: cplummer408120@uhssa.direct-ci.com
  • Direct secure messaging: cplummer65191@direct.utmsa.com

Organizations & group practices 8

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 5

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": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1821749367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W MARTIN ST # MS 49-2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782070903",
            "telephone_number": "210-358-5909",
            "fax_number": "210-358-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "CALVIN",
        "middle_name": "REED",
        "name_suffix": "III",
        "credential": "AG-ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1064077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.