Individual provider Active NPI

Phyllis Robinson, APRN

  • Adult Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1982217212
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1003217 Issued in TX
Practice address
4242 Medical Dr Ste 6250
San Antonio, TX 78229-5705
Phone
(210) 479-3297
Fax
(210) 479-3295
NPI assigned
Aug 26, 2020
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 1003217 TX
Adult Health Nurse Practitioner 363LA2200X 1003217 TX Primary

Addresses

Primary practice location

4242 Medical Dr Ste 6250
San Antonio, TX 78229-5705

Mailing address

3030 Elk River TRL
Bulverde, TX 78163-2234
Phone (210) 365-3659

Other practice location 1

19016 Stone Oak Pkwy Ste 190
San Antonio, TX 78258-3387
Phone (210) 490-4600

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
I20201026003261 TX Practitioner - Nurse Practitioner 6002236361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert a Zajac MD PAGroup PAC ID 6204831498, 6 clinicians

Practice addresses (Care Compare)

150 E Sonterra Blvd
Suite 170
San Antonio, TX 78258-4022
Phone (210) 481-2800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor at Your Service PLLC Single Specialty CurrentSince Jun 4, 2024 Accepting new patients
Robert a Zajac MD PA Single Specialty CurrentSince Dec 1, 2025 Accepting new patients

Locations

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

150 E Sonterra Blvd
Ste 170
San Antonio, TX 78258
Phone (210) 481-2800

4242 Medical Dr
Ste 6250
San Antonio, TX 78229
Phone (210) 479-3297

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1982217212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 ELK RIVER TRL",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781632234",
            "telephone_number": "210-365-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR STE 6250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295705",
            "telephone_number": "210-479-3297",
            "fax_number": "210-479-3295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19016 Stone Oak Pkwy Ste 190",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583387",
            "country_code": "US",
            "telephone_number": "210-490-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "PHYLLIS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1003217",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1003217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.