Individual provider Active NPI

Anel Hernandez Clark Parker, MSN

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1912233578
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP118248 Issued in TX
Practice address
5364 Fredericksburg Dr. Building D Suite 100
San Antonio, TX 78229
Phone
(210) 441-4333
NPI assigned
Nov 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 719316 TX
Family Nurse Practitioner 363LF0000X AP118248 TX Primary

Addresses

Primary practice location

5364 Fredericksburg Dr. Building D Suite 100
San Antonio, TX 78229

Mailing address

45 NE Loop 410 Ste 850
San Antonio, TX 78216-5824
Phone (210) 805-9800

Other practice location 1

7003 S New Braunfels Ave Ste 106
San Antonio, TX 78223-4589
Phone (210) 441-4333

Other identifiers 2

IdentifierTypeStateIssuer
2838286-02MedicaidTX
TXB140947OtherTXMEDICARE PTAN

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
I20100629000334 TX Practitioner - Nurse Practitioner 5799816179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Pain Partners PLLCGroup PAC ID 3274061783, 23 clinicians

Practice addresses (Care Compare)

3202 Cherry Ridge Dr
Suite 103
San Antonio, TX 78230-4830
Phone (210) 441-4333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pain Partners PLLC CurrentSince Nov 1, 2024 Accepting new patients
Texas Pain Partners PLLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

7525 N Loop 1604 E
Ste 128
Live Oak, TX 78233
Phone (210) 441-4333

45 NE Loop 410
Ste 850
San Antonio, TX 78216

7003 S New Braunfels Ave
Ste 106
San Antonio, TX 78223
Phone (210) 441-4333

423 Treeline Park
Ste 325
San Antonio, TX 78209
Phone (210) 546-1460

3202 Cherry Ridge Dr
Ste 103
San Antonio, TX 78230
Phone (210) 441-4333

5364 Fredericksburg Rd
Ste 100
San Antonio, TX 78229
Phone (210) 441-4333

Organizations & group practices 2

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": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1912233578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NE LOOP 410 STE 850",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165824",
            "telephone_number": "210-805-9800",
            "fax_number": "210-805-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5364 FREDERICKSBURG DR. BUILDING D SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-441-4333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7003 S New Braunfels Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782234589",
            "country_code": "US",
            "telephone_number": "210-441-4333",
            "fax_number": "210-441-4330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ANEL",
        "middle_name": "HERNANDEZ CLARK",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "719316",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP118248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2838286-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB140947",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.