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Golden Eagle

Nurse Practitioner β€’ San Antonio, TX

Active NPI 1487024279 Individual Practitioner Female Practitioner
Practice location in NPPES

333 N Santa Rosa
San Antonio, TX 782073108

Call 2107043030 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

333 N Santa Rosa

San Antonio, TX 782073108

Telephone 2107043030
Organization at the Same NPPES Address or Phone
Ricardo Pinero Md Pa Facility NPI 1275712432

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in San Antonio, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Golden Eagle has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Golden Eagle as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in San Antonio and Texas

393 active clinicians are listed under Nurse Practitioner with a practice address in San Antonio, TX (4,835 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in San Antonio

9.9% of these 393 clinicians have the CMS telehealth indicator.

51.7% of these 393 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-08
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES TX AP129167

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES TX AP129167
Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES TX 777367

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES TX 777367
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20170419001609

Enrollment State Jurisdiction

TX

PECOS Control ID

3870879232

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

9002 Culebra Rd, #100

San Antonio, TX 782512873

Phone: 2104373990

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Dr. Asmaa Abu Maziad , MD

Pediatrics - Pediatric Nephrology

NPI 1922394139

Doctor of Medicine (M.D.)

Dr. Momena Bajwa , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1104005586

Doctor of Medicine (M.D.)

Dr. Michel Baum , MD

Pediatrics - Pediatric Nephrology

NPI 1841251808

Doctor of Medicine (M.D.)

Dr. Victor Bautista-Hernandez , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1972134013

Doctor of Medicine (M.D.)

Nancy Biasiolli , PA-C

Physician Assistant

NPI 1396991543

Physician Assistant (Certified)

Dr. Charlene Dekonenko , MD

Surgery - Pediatric Surgery

NPI 1144615162

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location March 08, 2024

Registered at 333 N SANTA ROSA, SAN ANTONIO, TX 782073108 (Tel: 2107043030)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2024

Nurse Practitioner (license number reported to NPPES: TX AP129167)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2024

Nurse Practitioner (license number reported to NPPES: TX 777367)

βœ…
NPI Profile Active March 28, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location March 28, 2017

Registered at 9002 CULEBRA RD, #100, SAN ANTONIO, TX 782512873 (Tel: 2104373990)

πŸ“
Updated Business Mailing Address March 28, 2017

Registered at 14041 NORTHWEST BLVD STE 1, CORPUS CHRISTI, TX 784105138 (Tel: 3617679963)

πŸ‘€
Provider Name / Credentials Updated March 28, 2017

Recorded as GOLDEN EAGLE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2017

Nurse Practitioner (license number reported to NPPES: TX AP129167)

βœ…
NPI Profile Active October 06, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 06, 2015

Registered at 9002 CULEBRA RD, #100, SAN ANTONIO, TX 782512873 (Tel: 2104373990)

πŸ“
Business Mailing Address (Initial Record) October 06, 2015

Registered at 14041 NORTHWEST BLVD STE 1, CORPUS CHRISTI, TX 784105138 (Tel: 3617679963)

πŸ‘€
Provider Name / Credentials (Initial Record) October 06, 2015

Recorded as GOLDEN EAGLE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2015

Nurse Practitioner (license number reported to NPPES: TX 777367)

🟒
Initial NPI Registration & Enumeration October 06, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487024279
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2015
Last Update: March 08, 2024
Sole Proprietor: No

Other Nurse Practitioners in San Antonio

All Nurse Practitioners in San Antonio

Mailing Address

14041 Northwest Blvd Ste 1

Corpus Christi, TX 784105138

Phone: 3617679963

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.