MRS. EDNA JANISSE CARABALLO-GONZALEZ PA
NPI 1578698940
Physician Assistant in San Antonio, TX

Q: What is Edna Caraballo-gonzalez's NPI number?

The NPI number for Edna Caraballo-gonzalez is 1578698940. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Q: What is Edna Caraballo-gonzalez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since February 23, 2007PECOS EnrolledAccepts Medicare Assignment

1802 SW MILITARY DR, SAN ANTONIO, TX 78221(210) 924-2337(210) 923-2208 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Edna Janisse Caraballo-gonzalez Pa NPPES

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

MRS. EDNA JANISSE CARABALLO-GONZALEZ PA (NPI 1578698940) is an individual physician assistant in San Antonio, Texas, licensed in Texas (PA15283) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1578698940

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. EDNA JANISSE CARABALLO-GONZALEZCredential: PA

Location Address1802 SW MILITARY DRSan Antonio, TX 78221-1431

Mailing Address2961 MossrockSan Antonio, TX 78230-5119 · (210) 731-4800 · Fax (210) 731-4810

Phone(210) 924-2337

Fax(210) 923-2208

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateFebruary 23, 2007

Last NPPES UpdateMarch 29, 2024

NPPES CertifiedOctober 20, 2023

✔ NPI 1578698940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA15283

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1802 SW MILITARY DR, San Antonio, TX 78221

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Edna Janisse Caraballo-gonzalez Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577662030

PECOS Enrollment IDI20220302001444

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

106 services69 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

17 services16 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

12 services12 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services12 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78221 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

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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 7

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

DAWN JANELLE PASTOR FNP

Nurse Practitioner (Family)