Individual provider Active NPI

Renee Patlan, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Bulverde, TX
National Provider Identifier
1982241725
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP142919 Issued in TX
Practice address
805 Kelly Creek Rd
Bulverde, TX 78163-3035
Phone
(830) 980-1805
NPI assigned
Nov 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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 AP142919 TX Primary

Addresses

Primary practice location

805 Kelly Creek Rd
Bulverde, TX 78163-3035

Mailing address

6410 Lionheart Park
San Antonio, TX 78240-1753
Phone (210) 287-6575

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
I20200402003810 TX Practitioner - Nurse Practitioner 1850720491 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamo City Post Acute PLLCGroup PAC ID 8921423484, 2 clinicians

Practice addresses (Care Compare)

3335 Rock Creek Run
San Antonio, TX 78230-3837
Phone (210) 844-1471

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Texas, PA CurrentSince Jan 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Apr 1, 2021 Accepting new patients
Alamo City Post Acute PLLC CurrentSince Jan 8, 2021 Accepting new patients
Wellmed Networks, Inc. CurrentSince Feb 21, 2022 Accepting new patients
Wellmed Medical Group, PA Past Accepting new patients

Locations

11801 South Fwy
#I35W
Burleson, TX 76028
Phone (817) 293-4304

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

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

10127 Huebner Rd
San Antonio, TX 78240
Phone (210) 844-1471

10127 Huebner Rd
Ste 389
San Antonio, TX 78240

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

10004 Wurzbach Rd
San Antonio, TX 78230
Phone (210) 417-4142

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: renee.patlan@wellmed.eclinicaldirectplus.com

Organizations & group practices 5

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": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1982241725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 LIONHEART PARK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401753",
            "telephone_number": "210-287-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 KELLY CREEK RD",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781633035",
            "telephone_number": "830-980-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATLAN",
        "first_name": "RENEE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP142919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bulverde, TX

Sources for this page

Verify at the official NPI Registry.