NICOLE PAREDES
NPI 1487116703
Nurse Practitioner - Family in San Antonio, TX

Active since April 04, 2019PECOS Enrolled
89.92/100
CMS Quality Rating
4330 MEDICAL DR STE 500, SAN ANTONIO, TX 78229(210) 558-0122(210) 547-4909 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2021, Apr 4, 2019 (2 updates tracked since 2019).

About Nicole Paredes NPPES

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

NICOLE PAREDES (NPI 1487116703) is an individual family provider in San Antonio, Texas, licensed in Texas (AP141253) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1487116703
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE PAREDES
Location Address4330 MEDICAL DR STE 500San Antonio, TX 78229-3318
Mailing Address17503 La Cantera Pkwy, # 104-404San Antonio, TX 78257-8207 · (210) 558-0122
Fax(210) 547-4909
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 4, 2019
Last NPPES UpdateMay 21, 20242 updates tracked since enumeration
NPPES CertifiedMay 21, 2024
✔ NPI 1487116703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP141253
4330 MEDICAL DR STE 500, San Antonio, TX 78229

Secondary Practice Location 1

Location 14502 Medical DrSan Antonio, TX 78229-4402 · Phone (210) 358-4000

Accepted 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 Paredes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264774959
PECOS Enrollment IDI20190429002519
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 Reassignments

4

Medicare enrollment records show Nicole Paredes reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Acute Care
5101 MEDICAL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 31 clinicians in this Medicare group
Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 clinicians in this Medicare group
Undersea and Hyperbaric Medicine
32357 US HIGHWAY 281 N
Bulverde, TX 78163
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
Physical Medicine & Rehabilitation
4671 38TH ST S
Fargo, ND 58104
  • Reassigned Medicare billing, Texas enrollment
  • 35 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
813 services219 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
170 services161 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
46 services44 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
40 services31 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
28 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.39
Promoting Interoperability100
Improvement Activities40
Cost62.89

Other Providers at the Same Location NPPES 15

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

Family Medicine
4330 MEDICAL DR STE 500
SAN ANTONIO, TX 78229
Internal Medicine (Cardiovascular Disease)
4330 MEDICAL DR STE 500
SAN ANTONIO, TX 78229
Physician Assistant
4330 MEDICAL DR STE 500
SAN ANTONIO, TX 78229
Psychiatry & Neurology (Neurology)
4330 MEDICAL DR STE 500
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
4330 MEDICAL DR STE 500
SAN ANTONIO, TX 78229
Internal Medicine
4330 MEDICAL DR STE 500
SAN ANTONIO, TX 78229
Clinical Nurse Specialist (Adult Health)
4330 MEDICAL DR STE 500
SAN ANTONIO, TX 78229
Nurse Practitioner (Acute Care)
4330 MEDICAL DR STE 500
SAN ANTONIO, TX 78229

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 Nicole Paredes's NPI number?

The NPI number for Nicole Paredes is 1487116703. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Nicole Paredes located?

Nicole Paredes practices at 4330 Medical Dr Ste 500, San Antonio, TX 78229. The listed phone number is (210) 558-0122.

What is Nicole Paredes's specialty?

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

Is Nicole Paredes enrolled in Medicare?

Yes. Nicole Paredes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Paredes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Paredes reassigns Medicare benefits to 4 organizations: Advanced Clinician, Multispecialty Clinical Consultant Services, PLLC (San Antonio, TX), Community Medicine Associates (San Antonio, TX), Hill Country Wound Care Vascular & Hyperbarics (Bulverde, TX) and Pam Physician Enterprise (Fargo, ND). Each 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 Nicole Paredes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Paredes accept?

Health plans from Blue Cross and Blue Shield of Texas, Community First, Imperial Insurance Companies, Inc., UnitedHealthcare and WellPoint list Nicole Paredes 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 Nicole Paredes was last updated on May 21, 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.