BLUE AGAVE FUNCTIONAL MEDICINE BULVERDE PLLC
NPI 1215888573
General Practice in Spring Branch, TX
About Blue Agave Functional Medicine Bulverde Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE AGAVE FUNCTIONAL MEDICINE BULVERDE PLLC (NPI 1215888573), doing business as Blue Agave Functional Medicine Clinic, is a healthcare organization registered as a general practice in Spring Branch, Texas and active in the NPI registry since February 2026. The organization holds 2 active CLIA laboratory certificates and lists Scott Patrick Knepper, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blue Agave Functional Medicine Bulverde Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Blue Agave Functional Medicine Bulverde PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Spring Branch, TX 78070
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2347105
Blue Agave Functional Medicine Clinic · Bulverde, TXCertificate of Waiver 45D2347106
Blue Agave Functional Medicine Clinic · Boerne, TXFrequently 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 Blue Agave Functional Medicine Bulverde PLLC's NPI number?
The NPI number for Blue Agave Functional Medicine Bulverde PLLC is 1215888573. It was assigned to this organization in the NPPES registry on February 4, 2026. The provider is doing business as Blue Agave Functional Medicine Clinic.
Where is Blue Agave Functional Medicine Bulverde PLLC located?
Blue Agave Functional Medicine Bulverde PLLC is located at 20475 Highway 46 W Ste 350, Spring Branch, TX 78070. The listed phone number is (830) 491-4040.
What is Blue Agave Functional Medicine Bulverde PLLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Blue Agave Functional Medicine Bulverde PLLC enrolled in Medicare?
Yes. Blue Agave Functional Medicine Bulverde PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Agave Functional Medicine Bulverde PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Blue Agave Functional Medicine Bulverde PLLC, in General Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Blue Agave Functional Medicine Bulverde PLLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Blue Agave Functional Medicine Bulverde PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Blue Agave Functional Medicine Bulverde PLLC 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 Blue Agave Functional Medicine Bulverde PLLC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Blue Agave Functional Medicine Bulverde Pllc · NPI 1215888573
General Practice organization in Spring Branch, Texas. Organization record, active in the CMS NPPES registry since February 4, 2026.
## Identity
- **NPI:** 1215888573 (Entity type: Organization)
- **Enumerated:** February 4, 2026
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Also known as:** Blue Agave Functional Medicine Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Scott Patrick Knepper, MANAGER
## Practice location
- **Address:** 20475 HIGHWAY 46 W STE 350, Spring Branch, TX 78070-6147
- **Phone:** (830) 491-4040 · **Fax:** (833) 468-5420
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), General Practice (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2026
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215888573) · Data from the CMS NPPES public registry.