MR. MICAH JOEL YZAGUIRRE ACNPC-AG
NPI 1669353843
Nurse Practitioner - Critical Care Medicine in San Antonio, TX

Q: What is Micah Yzaguirre's NPI number?

The NPI number for Micah Yzaguirre is 1669353843. It was assigned to this individual provider in the NPPES registry on September 11, 2025.

Q: What is Micah Yzaguirre's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Q: When was this NPI record last updated?

The NPPES record for Micah Yzaguirre was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 September 11, 2025PECOS Enrolled

4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229(210) 690-7400 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mr. Micah Joel Yzaguirre Acnpc-ag NPPES

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

MR. MICAH JOEL YZAGUIRRE ACNPC-AG (NPI 1669353843) is an individual critical care medicine provider in San Antonio, Texas, licensed in Texas (1190385) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669353843

Entity TypeIndividualMale

Primary Taxonomy363LC0200X

Provider Legal NameMR. MICAH JOEL YZAGUIRRECredential: ACNPC-AG

Location Address4458 MEDICAL DR STE 505San Antonio, TX 78229-3748

Mailing Address148 Fabarm LnNew Braunfels, TX 78130-5178 · (210) 317-5024

Phone(210) 690-7400

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 11, 2025

NPPES CertifiedSeptember 9, 2025

✔ NPI 1669353843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC0200X

License✔ Licensed in TX · 1190385

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1190385 (TX)

4458 MEDICAL DR STE 505, San Antonio, TX 78229

Open in Google Maps ↗

Secondary Practice Location 1

Location 17700 Floyd Curl DrSan Antonio, TX 78229-3902 · Phone (210) 575-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Micah Joel Yzaguirre Acnpc-ag is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082110937

PECOS Enrollment IDI20250930004620

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 Reassignment

Medicare enrollment records show Micah Yzaguirre reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Ips LLC

Same address

Pulmonary Disease

4458 MEDICAL DR STE 505
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
110 clinicians in this Medicare group

NPI 1629368535 (210) 690-7400

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

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.

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.

DR. BRAVEIN AMALAKUHAN M.D.

Internal Medicine (Pulmonary Disease)