ICELIND RUBY GALLARDO
NPI 1427588797
Nurse Practitioner - Family in San Antonio, TX

Q: What is Icelind Gallardo's NPI number?

The NPI number for Icelind Gallardo is 1427588797. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Q: What is Icelind Gallardo'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 Icelind Gallardo was last updated on February 10, 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 June 19, 2017PECOS Enrolled

7603 CULEBRA RD, SAN ANTONIO, TX 78251(663) 892-7278 Get Directions Write a Review

NPPES record last updated: February 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2024, Jun 19, 2017 (2 updates tracked since 2017).

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About Icelind Ruby Gallardo NPPES

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

ICELIND RUBY GALLARDO (NPI 1427588797) is an individual family provider in San Antonio, Texas, licensed in Texas (1074110) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427588797

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameICELIND RUBY GALLARDO

Location Address7603 CULEBRA RDSan Antonio, TX 78251-1437

Mailing Address7603 Culebra RdSan Antonio, TX 78251-1437 · (663) 892-7278

Phone(663) 892-7278

Sole ProprietorNo

Enumeration DateJune 19, 2017

Last NPPES UpdateFebruary 10, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2024

✔ NPI 1427588797 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 · 1074110

Also ListedRegistered NurseTaxonomy 163W00000X · License 787387 (CA)

7603 CULEBRA RD, San Antonio, TX 78251

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Icelind Ruby Gallardo 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.

Areas of Expertise CMS Part B claims

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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.

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Other Providers at the Same Location NPPES 13

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

DAJA CARRICK HERNANDEZ NP-C

Nurse Practitioner (Family)