Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

STAR RISE PRIMARY CARE PLLC
NPI 1366351124
Nurse Practitioner - Adult Health in San Antonio, TX

Q: What is Star Rise Primary Care PLLC's NPI number?

The NPI number for Star Rise Primary Care PLLC is 1366351124. It was assigned to this organization in the NPPES registry on September 5, 2026.

Q: What is Star Rise Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since September 05, 2026

10202 RYDER BND, SAN ANTONIO, TX 78254(401) 617-4653 Get Directions Write a Review

NPPES record added: September 5, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Star Rise Primary Care Pllc NPPES

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

STAR RISE PRIMARY CARE PLLC (NPI 1366351124) is a healthcare organization registered as an adult health in San Antonio, Texas and active in the NPI registry since September 2026. The organization lists Oyindamola Stella Akinkugbe, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1366351124

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameSTAR RISE PRIMARY CARE PLLC

Location Address10202 RYDER BNDSan Antonio, TX 78254-4877

Mailing Address10202 Ryder BndSan Antonio, TX 78254-4877 · (401) 617-4653

Phone(401) 617-4653

Organization SubpartNo

Authorized OfficialOyindamola Stella AkinkugbeFamily Nurse Practitioner · (401) 617-4653

Enumeration DateSeptember 5, 2026

NPPES CertifiedSeptember 4, 2026

✔ NPI 1366351124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

10202 RYDER BND, San Antonio, TX 78254

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Star Rise Primary Care PLLC's NPI number?

The NPI number for Star Rise Primary Care PLLC is 1366351124. It was assigned to this organization in the NPPES registry on September 5, 2026.

Where is Star Rise Primary Care PLLC located?

Star Rise Primary Care PLLC is located at 10202 Ryder Bnd, San Antonio, TX 78254. The listed phone number is (401) 617-4653.

What is Star Rise Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Star Rise Primary Care PLLC was last updated on September 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.