SHEILA M CALUMPIANO PNP
NPI 1306173067
Nurse Practitioner - Pediatrics in San Antonio, TX
About Sheila M Calumpiano Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHEILA M CALUMPIANO PNP (NPI 1306173067) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (AP118192) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of University Of Texas Medical School At San Antonio (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sheila M Calumpiano Pnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sheila Calumpiano reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Antonio, TX 78207
- Reassigned Medicare billing, Texas enrollment
- 1,129 clinicians in this Medicare group
San Antonio, TX 78240
- Reassigned Medicare billing, Texas enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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
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 Sheila Calumpiano's NPI number?
The NPI number for Sheila Calumpiano is 1306173067. It was assigned to this individual provider in the NPPES registry on November 17, 2009.
Where is Sheila Calumpiano located?
Sheila Calumpiano practices at 903 W Martin St, San Antonio, TX 78207. The listed phone number is (210) 358-5437.
What is Sheila Calumpiano's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Sheila Calumpiano enrolled in Medicare?
Yes. Sheila Calumpiano 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.
Which organizations bill Medicare for Sheila Calumpiano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Calumpiano reassigns Medicare benefits to 2 organizations: Community Medicine Associates (San Antonio, TX) and Diabetes And Glandular Disease Clinic PA (San Antonio, TX). Each 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 Sheila Calumpiano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sheila Calumpiano accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Sheila Calumpiano 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 Sheila Calumpiano was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.
# Sheila M Calumpiano, PNP · NPI 1306173067
Pediatrics physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since November 17, 2009.
## Identity
- **NPI:** 1306173067 (Entity type: Individual)
- **Enumerated:** November 17, 2009
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP118192 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 903 W MARTIN ST, San Antonio, TX 78207-0903
- **Phone:** (210) 358-5437 · **Fax:** (210) 702-4192
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Community Medicine Associates (NPI 1245313329, San Antonio, TX); Diabetes And Glandular Disease Clinic PA (NPI 1427166305, San Antonio, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At San Antonio, class of 2009
## Record status
- **NPPES last updated:** September 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306173067) · Data from the CMS NPPES public registry.