OLIVIA RAE PORTILLO DNP, FNP-C
NPI 1083589816
Nurse Practitioner in San Antonio, TX

Q: What is Olivia Portillo's NPI number?

The NPI number for Olivia Portillo is 1083589816. It was assigned to this individual provider in the NPPES registry on October 10, 2025.

Q: What is Olivia Portillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Olivia Portillo was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 10, 2025PECOS Enrolled

3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221(210) 334-3700(210) 922-0162 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Olivia Rae Portillo Dnp, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVIA RAE PORTILLO DNP, FNP-C (NPI 1083589816) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (1005442) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1083589816

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameOLIVIA RAE PORTILLOCredential: DNP, FNP-C

Location Address3750 COMMERCIAL AVESan Antonio, TX 78221-3117

Mailing Address3750 Commercial AveSan Antonio, TX 78221-3117 · (210) 922-7000 · Fax (210) 924-1374

Phone(210) 334-3700

Fax(210) 922-0162

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 10, 2025

Last NPPES UpdateOctober 28, 2025

NPPES CertifiedOctober 28, 2025

✔ NPI 1083589816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 1005442

Definition

(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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 1005442 (TX)

3750 COMMERCIAL AVE, San Antonio, TX 78221

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Rae Portillo Dnp, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395235139

PECOS Enrollment IDI20251110000434

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HERBERT GUZMAN-CRUZ M.D.

Obstetrics & Gynecology