GOLDEN EAGLE
NPI 1487024279
Nurse Practitioner in San Antonio, TX

Q: 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.

Q: What is Golden Eagle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Golden Eagle was last updated on March 8, 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 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: August 16, 2026.

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

On this page

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.

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

Phone(210) 704-3030

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

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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, CHRISTUS Health Plan, Molina Healthcare 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 (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.

LATHA PRASANNAN MD

Pediatrics (Pediatric Hematology-Oncology)