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TRENT J FACKELMAN FNP-C
NPI 1407466410
Nurse Practitioner - Family in San Antonio, TX

Active since August 04, 2020PECOS EnrolledAccepts Medicare Assignment
8500 VILLAGE DR STE 202, SAN ANTONIO, TX 78217(210) 957-1419(210) 957-1697 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2022, Nov 5, 2020, Aug 4, 2020 (3 updates tracked since 2020).

About Trent J Fackelman Fnp-c NPPES

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

TRENT J FACKELMAN FNP-C (NPI 1407466410) is an individual family provider in San Antonio, Texas, licensed in Texas (1007822) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407466410
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTRENT J FACKELMANCredential: FNP-C
Location Address8500 VILLAGE DR STE 202San Antonio, TX 78217-5510
Mailing Address2600 Kerri Strug CvAustin, TX 78748-2077 · (210) 655-9613
Phone(210) 957-1419
Fax(210) 957-1697
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 4, 2020
Last NPPES UpdateSeptember 13, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
✔ NPI 1407466410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1007822
Also ListedRegistered NurseTaxonomy 163W00000X · License 816398 (TX)
8500 VILLAGE DR STE 202, San Antonio, TX 78217
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Trent J Fackelman Fnp-c 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.

PECOS PAC ID648664029
PECOS Enrollment IDI20220301000718
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
204 services199 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
158 services144 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
86 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78217 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEROES HEALTHCARE PLLC
Clinic/Center (Primary Care)
8500 VILLAGE DR STE 202
SAN ANTONIO, TX 78217
Bexar County (210) 957-1419

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 Trent Fackelman's NPI number?

The NPI number for Trent Fackelman is 1407466410. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Where is Trent Fackelman located?

Trent Fackelman practices at 8500 Village Dr Ste 202, San Antonio, TX 78217. The listed phone number is (210) 957-1419.

What is Trent Fackelman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Trent Fackelman enrolled in Medicare?

Yes. Trent Fackelman 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.

What insurance does Trent Fackelman 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 3 other insurers list Trent Fackelman 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 Trent Fackelman was last updated on September 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.