Melissa Faye Constancio , BSN, MSN, APRN-FNP-C
Nurse Practitioner โข San Antonio, TX
9119 Cinnamon Hl
San Antonio, TX 782405401
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Melissa Constancio is listed in NPPES under Nurse Practitioner.
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NPI assigned on August 24, 2018; this date does not establish years in practice.
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Published CMS data list 512 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99309 โ Subsequent nursing facility care with moderate level of medical decision making, per day: 140 service units.
- 99308 โ Subsequent nursing facility care with straightforward level of medical decision making, per day: 56 service units.
- 99310 โ Subsequent nursing facility care with high level of medical decision making, per day: 49 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 16 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 153 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Albuterol Sulfate Hfa (Albuterol Sulfate) โ 28 prescription fills, including refills.
- Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) โ 26 prescription fills, including refills.
- Mupirocin โ 22 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 9 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 154 clinicians with data). Median for this group: 207. Middle half: 78 to 518.
More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 141 in 2021 to 512 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2024.
Practice Location & Contact Primary Location
9119 Cinnamon Hl
San Antonio, TX 782405401
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Tmc Provider Group Pllc; Wholistic Wound Care And Wellness Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2019
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
148 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $37,978 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $28,819 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
156 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,549 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $590.58 across 8 records.
By nature of payment
- Food and Beverage: $590.58 across 8 records.
Reporting-company totals (3 largest of 5)
- Smith+Nephew, Inc.: $145.08 across 2 records.
- Boston Scientific Corporation: $141.57 across 1 record.
- ABIOMED: $137.17 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
7 years (graduated 2019)
CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2018
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Melissa Constancio 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.
Can order Medicare-covered services
CMS lists Melissa Constancio 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in San Antonio and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 154 clinicians with data). Median for this group: 207. Middle half: 78 to 518.
More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 154 clinicians with data). Median for this group: $15,355. Middle half: $6,719 to $37,633.
A higher Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $17,068. Middle half: $6,758 to $39,305.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 154 clinicians with data). Median for this group: $11,029. Middle half: $4,930 to $28,284.
A higher Medicare payment amount than 70% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $12,638. Middle half: $4,849 to $28,908.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 181 clinicians with data). Median for this group: 269. Middle half: 54 to 1,018.
Fewer Part D prescriptions than 60% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: 274. Middle half: 77 to 1,097.
Part D drug cost
A lower Part D drug cost than 65% of clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 181 clinicians with data). Median for this group: $19,802. Middle half: $760 to $136,336.
A lower Part D drug cost than 65% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: $12,936. Middle half: $998 to $118,416.
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.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 263% from 141 in 2021 to 512 in 2024.
- 2021: 141
- 2022: 551
- 2023: 891
- 2024: 512
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Medicare-allowed amount
Medicare-allowed amount increased 356% from $8,329 in 2021 to $37,978 in 2024.
- 2021: $8,329
- 2022: $38,663
- 2023: $44,771
- 2024: $37,978
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Paid by Medicare
Paid by Medicare increased 332% from $6,664 in 2021 to $28,819 in 2024.
- 2021: $6,664
- 2022: $29,582
- 2023: $34,101
- 2024: $28,819
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 189% from 53 in 2021 to 153 in 2024.
- 2021: 53
- 2022: 63
- 2023: 198
- 2024: 153
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30-day fills
30-day fills increased 195% from 53 in 2021 to 156 in 2024.
- 2021: 53
- 2022: 63
- 2023: 200
- 2024: 156
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Part D drug cost
Part D drug cost increased 41% from $1,095 in 2021 to $1,549 in 2024.
- 2021: $1,095
- 2022: $1,512
- 2023: $4,967
- 2024: $1,549
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $46.08 in 2021 to $590.58 in 2025.
- 2021: $46.08
- 2022: $114.90
- 2023: $716.99
- 2024: $157.82
- 2025: $590.58
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $590.58.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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WATCHMAN FLX | General | $141.57 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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COLLAGENASE SANTYL | General | $124.41 |
| ABIOMED |
Food and Beverage
In-kind items and services
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โ | General | $118.68 |
| Solventum Corporation |
Food and Beverage
Cash or cash equivalent
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ACTIV.A.C. | General | $102.75 |
| Bard Peripheral Vascular, Inc. |
Food and Beverage
In-kind items and services
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Fluency Endovascular Stent Graft | General | $46.61 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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COLLAGENASE SANTYL | General | $20.67 |
| ABIOMED |
Food and Beverage
In-kind items and services
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โ | General | $18.49 |
| Solventum Corporation |
Food and Beverage
Cash or cash equivalent
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ACTIV.A.C. | General | $17.40 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2021โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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140 | 43 | $186.00 | $87.99 |
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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56 | 33 | $142.96 | $60.94 |
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99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
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49 | 25 | $178.37 | $125.61 |
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87400
Detection test by immunoassay technique for influenza virus
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48 | 24 | $29.00 | $13.57 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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26 | 26 | $417.00 | $133.83 |
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87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
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24 | 24 | $101.00 | $33.73 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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23 | 23 | $275.00 | $99.55 |
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99306
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more
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22 | 19 | $295.00 | $148.74 |
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87880
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
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18 | 18 | $44.00 | $15.76 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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18 | 18 | $274.00 | $90.37 |
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96372
Injection of drug or substance under skin or into muscle
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17 | 15 | $62.00 | $11.62 |
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71046
X-ray of chest, 2 views
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16 | 16 | $135.00 | $26.93 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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16 | 14 | $186.00 | $70.93 |
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87420
Detection test by immunoassay technique for respiratory syncytial virus (rsv)
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15 | 15 | $31.00 | $13.63 |
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0241U
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected
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13 | 13 | $312.00 | $129.03 |
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81002
Urinalysis, manual test
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11 | 11 | $27.00 | $3.10 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Albuterol Sulfate Hfa | Albuterol Sulfate | 28 | 873 | $391.76 | 16 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 26 | 260 | $262.63 | 26 |
| Mupirocin | Mupirocin | 22 | 412 | $201.08 | 18 |
| Paxlovid | Nirmatrelvir/Ritonavir | 17 | 110 | $0.00 | 17 |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 14 | 196 | $279.26 | 14 |
| Levofloxacin | Levofloxacin | 12 | 136 | $47.57 | 12 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 12 | 136 | $215.32 | 12 |
| Azithromycin | Azithromycin | 11 | 55 | $31.94 | 11 |
| Methylprednisolone | Methylprednisolone | 11 | 66 | $119.91 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-02-07NUCC Taxonomy Code: 363L00000X
(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.
NUCC Taxonomy Code: 163W00000X
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
NUCC Taxonomy Code: 363LF0000X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20190924000395
TX
8921338641
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Tmc Provider Group Pllc
2530 Sw Military Dr, San Antonio, TX 782241020
Phone: 2104765599
Tmc Provider Group Pllc
1111 Se Military Dr, San Antonio, TX 782142801
Phone: 2109275580
Tmc Provider Group Pllc
1922 State Hwy 46 W, New Braunfels, TX 781325245
Phone: 8306325092
Tmc Provider Group Pllc
11811 Blanco Rd, San Antonio, TX 782162407
Phone: 2103415588
Tmc Provider Group Pllc
23611w Interstate 10, San Antonio, TX 782571694
Phone: 2106986617
Tmc Provider Group Pllc
7460n Interstate 35, San Antonio, TX 782182700
Phone: 2106555529
Tmc Provider Group Pllc
426 Singing Oaks, Spring Branch, TX 780706508
Phone: 8306325740
Tmc Provider Group Pllc
9885w Interstate 10, San Antonio, TX 782302245
Phone: 2106965599
Tmc Provider Group Pllc
8341 Agora Pkwy, Selma, TX 781541316
Phone: 2106595533
Tmc Provider Group Pllc
13722 Embassy Row, San Antonio, TX 782162000
Phone: 7262073656
Tmc Provider Group Pllc
6570 Ingram Rd, San Antonio, TX 782383900
Phone: 2105205588
Tmc Provider Group Pllc
958n Interstate 35, New Braunfels, TX 781303731
Phone: 8306065533
Wholistic Wound Care And Wellness Pllc
28715 Howards Bull, Fair Oaks Ranch, TX 780154338
Phone: 2102799579
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 9119 CINNAMON HL, SAN ANTONIO, TX 782405401 (Tel: 8065234949)
Registered at 5224 75TH ST STE D, LUBBOCK, TX 794242525 (Tel: 8067121096)
Registered at 1100 E 11TH PL, BIG SPRING, TX 797204709 (Tel: 8065234949)
Recorded as MELISSA CONSTANCIO, BSN, MSN, APRN-FNP-C
NPI status registered as active in NPPES database
Registered at 119 SAN JACINTO DR, LEVELLAND, TX 793362105 (Tel: 8065234949)
Registered at 119 SAN JACINTO DR, LEVELLAND, TX 793362105 (Tel: 8065234949)
Recorded as MELISSA CONSTANCIO, BSN, RN
Registered Nurse (license number reported to NPPES: TX 902591)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in San Antonio
All Nurse Practitioners in San AntonioMailing Address
5224 75th St Ste D
Lubbock, TX 794242525
Phone: 8067121096