MARY PHYLINDA REDEKER MCDANIEL PNP-BC
NPI 1194075705
Nurse Practitioner - Pediatrics in San Antonio, TX
About Mary Phylinda Redeker Mcdaniel Pnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY PHYLINDA REDEKER MCDANIEL PNP-BC (NPI 1194075705) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (699906) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Phylinda Redeker Mcdaniel Pnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN ANTONIO, TX 78207
SAN ANTONIO, TX 78207
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 Mary Phylinda Mcdaniel's NPI number?
The NPI number for Mary Phylinda Mcdaniel is 1194075705. It was assigned to this individual provider in the NPPES registry on September 12, 2012. The provider is also known as Mary Phylinda Redeker Pnp-Bc.
Where is Mary Phylinda Mcdaniel located?
Mary Phylinda Mcdaniel practices at 333 N Santa Rosa St, San Antonio, TX 78207. The listed phone number is (210) 704-2190.
What is Mary Phylinda Mcdaniel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Mary Phylinda Mcdaniel enrolled in Medicare?
Yes. Mary Phylinda Mcdaniel is registered in the Medicare PECOS enrollment system.
What insurance does Mary Phylinda Mcdaniel accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and Oscar Insurance Company list Mary Phylinda Mcdaniel 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.
When was this NPI record last updated?
The NPPES record for Mary Phylinda Mcdaniel was last updated on May 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mary Phylinda Redeker Mcdaniel, PNP-BC · NPI 1194075705
Pediatrics physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since September 12, 2012.
## Identity
- **NPI:** 1194075705 (Entity type: Individual)
- **Enumerated:** September 12, 2012
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 699906 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 333 N SANTA ROSA ST, San Antonio, TX 78207-3108
- **Phone:** (210) 704-2190
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1194075705) · Data from the CMS NPPES public registry.