NICOLE COLUNGA
NPI 1407685456
Nurse Practitioner - Family in San Antonio, TX

Q: What is Nicole Colunga's NPI number?

The NPI number for Nicole Colunga is 1407685456. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Q: What is Nicole Colunga's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Colunga was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 July 29, 2024PECOS Enrolled

5439 RAY ELLISON BLVD, SAN ANTONIO, TX 78242(210) 922-7000 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2024, Jul 29, 2024 (2 updates tracked since 2024).

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About Nicole Colunga NPPES

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

NICOLE COLUNGA (NPI 1407685456) is an individual family provider in San Antonio, Texas, licensed in Texas (1171186) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407685456

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE COLUNGA

Location Address5439 RAY ELLISON BLVDSan Antonio, TX 78242-2219

Mailing Address3750 Commercial AveSan Antonio, TX 78221-3117 · (210) 922-7000 · Fax (210) 924-1374

Phone(210) 922-7000

Sole ProprietorNo

Enumeration DateJuly 29, 2024

Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1407685456 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 · 1171186

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5439 RAY ELLISON BLVD, San Antonio, TX 78242

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Colunga 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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Colunga reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

El Centro Del Barrio, Inc.

4.4 mi

Federally Qualified Health Center (FQHC)

6315 S ZARZAMORA ST
San Antonio, TX 78211

Reassigned Medicare billing, Texas enrollment
91 clinicians in this Medicare group

NPI 1538264429 (210) 977-7910

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 78242 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 14

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

STEPHANIE ANNE AVILES CPNP-PC

Nurse Practitioner (Pediatrics)