PROCARE WELLNESS, LLC
NPI 1417588351
Nurse Practitioner - Psychiatric/Mental Health in San Antonio, TX

Active since January 29, 2020
8601 VILLAGE DR STE 100, SAN ANTONIO, TX 78217(210) 551-8830 Get Directions Write a Review

NPPES record last updated: February 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 22, 2025, Apr 12, 2023, Apr 4, 2023 and 1 more (4 updates tracked since 2020).

About Procare Wellness, Llc NPPES

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

PROCARE WELLNESS, LLC (NPI 1417588351) is a healthcare organization registered as a psychiatric/mental health in San Antonio, Texas and active in the NPI registry since January 2020. The organization lists Jyoti Kc, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1417588351
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePROCARE WELLNESS, LLC
Location Address8601 VILLAGE DR STE 100San Antonio, TX 78217-5509
Mailing AddressPo Box 691463San Antonio, TX 78269-1463 · (210) 551-8830
Organization SubpartNo
Authorized OfficialJyoti KcNurse Practitioner · (210) 551-8830
Enumeration DateJanuary 29, 2020
Last NPPES UpdateFebruary 22, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2025
✔ NPI 1417588351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
8601 VILLAGE DR STE 100, San Antonio, TX 78217

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Procare Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Procare Wellness, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1356715155
6812 BANDERA RD STE 102
San Antonio, TX 78238
(210) 808-2540
✔ PECOS12 mi
Nurse Practitioner
NPI 1972048361
8330 SIERRA HERMOSA
San Antonio, TX 78255
(210) 551-8830
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Procare Wellness, LLC's NPI number?

The NPI number for Procare Wellness, LLC is 1417588351. It was assigned to this organization in the NPPES registry on January 29, 2020.

Where is Procare Wellness, LLC located?

Procare Wellness, LLC is located at 8601 Village Dr Ste 100, San Antonio, TX 78217. The listed phone number is (210) 551-8830.

What is Procare Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Procare Wellness, LLC enrolled in Medicare?

Yes. Procare Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Procare Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Procare Wellness, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Procare Wellness, LLC was last updated on February 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.