WANDA JEAN TAMAYO NP
NPI 1699100412
Nurse Practitioner - Pediatrics in San Antonio, TX

Q: What is Wanda Tamayo's NPI number?

The NPI number for Wanda Tamayo is 1699100412. It was assigned to this individual provider in the NPPES registry on September 11, 2013.

Q: What is Wanda Tamayo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Wanda Tamayo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 11, 2013PECOS Enrolled

11398 BANDERA RD STE 201, SAN ANTONIO, TX 78250(210) 543-7334(210) 314-5044 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 11, 2017 (2 updates tracked since 2017).

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About Wanda Jean Tamayo Np NPPES

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

WANDA JEAN TAMAYO NP (NPI 1699100412) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (AP124391) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699100412

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameWANDA JEAN TAMAYOCredential: NP

Location Address11398 BANDERA RD STE 201San Antonio, TX 78250-6827

Mailing Address1719 Blue Crest LnSan Antonio, TX 78232-5103 · (210) 452-7063

Phone(210) 543-7334

Fax(210) 314-5044

Sole ProprietorNo

Enumeration DateSeptember 11, 2013

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1699100412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TX · AP124391

Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License 683610 (TX)

11398 BANDERA RD STE 201, San Antonio, TX 78250

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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.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)

Wanda Jean Tamayo Np 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 78250 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 19

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

RHEASHAMON ORIELLE HARRIS DNP, APRN, FNP-C

Nurse Practitioner (Family)