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MR. ALBERT PADILLA MSN, RN, FNP-C
NPI 1104327998
Nurse Practitioner - Family in San Antonio, TX

Active since February 27, 2018PECOS EnrolledAccepts Medicare Assignment
89.92/100
CMS Quality Rating
4647 MEDICAL DR STE 111, SAN ANTONIO, TX 78229(210) 358-8145 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Albert Padilla Msn, Rn, Fnp-c NPPES

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

MR. ALBERT PADILLA MSN, RN, FNP-C (NPI 1104327998) is an individual family provider in San Antonio, Texas, licensed in Texas (AP135352) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with University Health System, and maintains a secondary practice location in Chinle.

NPPES Registry Identity

NPI1104327998
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. ALBERT PADILLACredential: MSN, RN, FNP-C
Location Address4647 MEDICAL DR STE 111San Antonio, TX 78229-4403
Mailing AddressPo Box 1888Chinle, AZ 86503-1888 · (210) 836-4914
Phone(210) 358-8145
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 27, 2018
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1104327998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TX · AP135352✔ Licensed in AZ · AP10987
4647 MEDICAL DR STE 111, San Antonio, TX 78229
Open in Google Maps ↗

Secondary Practice Location 1

Location 1Highway 191 Hospital DriveChinle, AZ 86503 · Phone (928) 674-7001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Albert Padilla Msn, Rn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688936115
PECOS Enrollment IDI20180322000074
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services93 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.39
Promoting Interoperability100
Improvement Activities40
Cost62.89

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Albert Padilla's NPI number?

The NPI number for Albert Padilla is 1104327998. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Where is Albert Padilla located?

Albert Padilla practices at 4647 Medical Dr Ste 111, San Antonio, TX 78229. The listed phone number is (210) 358-8145.

What is Albert Padilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Albert Padilla enrolled in Medicare?

Yes. Albert Padilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Albert Padilla accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and WellPoint list Albert Padilla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Albert Padilla affiliated with any hospitals?

According to CMS data, Albert Padilla is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Albert Padilla was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.