Active NPI
Misty Martinez Trevino, MSN, RN, FNP-C
- Family Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP126658
- Practice address
- 11212 Highway 151
San Antonio, TX 78251 - Phone
- (210) 450-9920
- NPI assigned
- Sep 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP126658 | TX | Primary |
Addresses
Primary practice location
11212 Highway 151
San Antonio, TX 78251
Mailing address
9011 Poteet Jourdanton Fwy
San Antonio, TX 78224-2124
Phone (210) 921-6010
Other practice location 1
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 450-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341254602 | Medicaid | TX |
Other names 1
- Misty Martinez
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4242 Medical Dr
Suite 6250
San Antonio, TX 78229-5705
Phone (210) 479-3297
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Primecare, Inc | Current | Accepting new patients | |
| Doctor at Your Service PLLC | Current | Accepting new patients | |
| South Texas Ancillary Services, LTD | Current | Accepting new patients |
Locations
720 Pleasanton Rd
San Antonio, TX 78214
1499 Hillcrest Dr
San Antonio, TX 78228
Phone (210) 921-6600
2961 Mossrock
San Antonio, TX 78230
Phone (210) 731-4800
4242 Medical Dr
Ste 6250
San Antonio, TX 78229
Phone (210) 479-3297
911 Castroville Rd
San Antonio, TX 78237
Phone (210) 436-7402
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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1003145483
-
dba HealthTexas Medical Group of San Antonio
- Internal Medicine Physician
- San Antonio, TX
- NPI 1194791566
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1063670289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538697600000",
"number": "1881096709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9011 POTEET JOURDANTON FWY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782242124",
"telephone_number": "210-921-6010",
"fax_number": "210-921-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11212 HIGHWAY 151",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78251",
"telephone_number": "210-450-9920"
}
],
"practiceLocations": [
{
"address_1": "7703 Floyd Curl Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293901",
"country_code": "US",
"telephone_number": "210-450-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TREVINO",
"first_name": "MISTY",
"middle_name": "MARTINEZ",
"credential": "MSN, RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2018-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP126658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "341254602",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MISTY",
"last_name": "MARTINEZ",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.