PAYTON ELISE GROFF AGACNP
NPI 1235953100
Nurse Practitioner - Acute Care in San Antonio, TX

Q: What is Payton Groff's NPI number?

The NPI number for Payton Groff is 1235953100. It was assigned to this individual provider in the NPPES registry on November 8, 2024.

Q: What is Payton Groff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Payton Groff was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 November 08, 2024PECOS Enrolled

4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229(210) 690-7400 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2024, Nov 12, 2024, Nov 8, 2024 (3 updates tracked since 2024).

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About Payton Elise Groff Agacnp NPPES

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

PAYTON ELISE GROFF AGACNP (NPI 1235953100) is an individual acute care provider in San Antonio, Texas, licensed in Texas (1038691) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235953100

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NamePAYTON ELISE GROFFCredential: AGACNP

Location Address4458 MEDICAL DR STE 505San Antonio, TX 78229-3748

Mailing Address10422 Huebner Rd Apt 1603San Antonio, TX 78240-1387 · (210) 860-6141

Phone(210) 690-7400

Sole ProprietorNo

Enumeration DateNovember 8, 2024

Last NPPES UpdateNovember 21, 20243 updates tracked since enumeration

NPPES CertifiedNovember 21, 2024

✔ NPI 1235953100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 1038691

4458 MEDICAL DR STE 505, San Antonio, TX 78229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company.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)

Payton Elise Groff Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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. BRAVEIN AMALAKUHAN M.D.

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