GOLDEN EAGLE
NPI 1487024279
Nurse Practitioner in San Antonio, TX

Active since October 06, 2015PECOS Enrolled
333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-3030 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 8, 2024, Jan 3, 2024, Mar 28, 2017 (3 updates tracked since 2017).

About Golden Eagle NPPES

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

GOLDEN EAGLE (NPI 1487024279) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (AP129167) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1487024279
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGOLDEN EAGLE
Location Address333 N SANTA ROSASan Antonio, TX 78207-3108
Mailing Address14041 Northwest Blvd Ste 1Corpus Christi, TX 78410-5138 · (361) 767-9963 · Fax (361) 767-8477
Sole ProprietorNo
Enumeration DateOctober 6, 2015
Last NPPES UpdateMarch 8, 20243 updates tracked since enumeration
NPPES CertifiedMarch 8, 2024
NPI 1487024279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in TX · AP129167 Licensed in TX · 777367
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License AP129167 (TX), 777367 (TX)
333 N SANTA ROSA, San Antonio, TX 78207

Secondary Practice Location 1

Location 19002 Culebra Rd, #100San Antonio, TX 78251-2873 · Phone (210) 437-3990 · Fax (210) 437-3991

Accepted 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)

Golden Eagle 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78207 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 20

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

Pediatrics (Pediatric Hematology-Oncology)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Pediatrics (Pediatric Emergency Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Nurse Practitioner (Pediatrics, Critical Care)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Student in an Organized Health Care Education/Training Program
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Obstetrics & Gynecology (Maternal & Fetal Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Clinical Neuropsychologist
333 N SANTA ROSA
SAN ANTONIO, TX 78207

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 Golden Eagle's NPI number?

The NPI number for Golden Eagle is 1487024279. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Where is Golden Eagle located?

Golden Eagle practices at 333 N Santa Rosa, San Antonio, TX 78207. The listed phone number is (210) 704-3030.

What is Golden Eagle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Golden Eagle enrolled in Medicare?

Yes. Golden Eagle is registered in the Medicare PECOS enrollment system.

What insurance does Golden Eagle accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Golden Eagle 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 Golden Eagle was last updated on March 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.