Individual provider Active NPI

Kristin Eve Roeseler, MSN, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Cibolo, TX
National Provider Identifier
1942891528
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1028645 Issued in TX
Practice address
329 Scotch Rose LN
Cibolo, TX 78108-3107
Phone
(806) 477-9353
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1028645 TX Primary

Addresses

Primary practice location

329 Scotch Rose LN
Cibolo, TX 78108-3107

Mailing address

329 Scotch Rose LN
Cibolo, TX 78108-3107
Phone (806) 477-9353

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
I20210510002059 TX Practitioner - Nurse Practitioner 6002225794 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2021 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2021 Accepting new patients

Locations

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

7703 Floyd Curl Dr
Ste 1445
San Antonio, TX 78229

Interoperability endpoints

  • Direct secure messaging: kroeseler30764@direct.utmsa.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.

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1942891528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 SCOTCH ROSE LN",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083107",
            "telephone_number": "806-477-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 SCOTCH ROSE LN",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083107",
            "telephone_number": "806-477-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESELER",
        "first_name": "KRISTIN",
        "middle_name": "EVE",
        "credential": "MSN, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1028645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cibolo, TX

Sources for this page

Verify at the official NPI Registry.