ANTIONETTE GROVE NURSE PRACTITIONER
NPI 1730903022
Nurse Practitioner in San Antonio, TX

Active since November 13, 2024PECOS EnrolledAccepts Medicare Assignment
540 MADISON OAK DR STE 310, SAN ANTONIO, TX 78258(210) 657-2100 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Nov 13, 2024 (2 updates tracked since 2024).

About Antionette Grove Nurse Practitioner NPPES

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

ANTIONETTE GROVE NURSE PRACTITIONER (NPI 1730903022) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (1179901) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1730903022
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANTIONETTE GROVECredential: NURSE PRACTITIONER
Location Address540 MADISON OAK DR STE 310San Antonio, TX 78258-3921
Mailing Address540 Madison Oak Dr Ste 310San Antonio, TX 78258-3921 · (210) 657-2100
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 13, 2024
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
NPI 1730903022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TX · 1179901
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 · Acute CareTaxonomy 363LA2100X · License 1179901 (TX)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 1179901 (TX)
540 MADISON OAK DR STE 310, San Antonio, TX 78258

Accepted Insurance

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

Antionette Grove Nurse Practitioner 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 ID9032646922
PECOS Enrollment IDI20241216004011
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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.

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 Antionette Grove's NPI number?

The NPI number for Antionette Grove is 1730903022. It was assigned to this individual provider in the NPPES registry on November 13, 2024.

Where is Antionette Grove located?

Antionette Grove practices at 540 Madison Oak Dr Ste 310, San Antonio, TX 78258. The listed phone number is (210) 657-2100.

What is Antionette Grove's specialty?

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

Is Antionette Grove enrolled in Medicare?

Yes. Antionette Grove is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Antionette Grove accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Antionette Grove 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.

Is Antionette Grove affiliated with any hospitals?

According to CMS data, Antionette Grove is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Antionette Grove was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.