MICHELLE RUHNKE FNP
NPI 1790498616
Nurse Practitioner - Family in San Antonio, TX

Active since January 05, 2023PECOS EnrolledAccepts Medicare Assignment
4236 THOUSAND OAKS DR STE 101, SAN ANTONIO, TX 78217(210) 269-0654 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 9, 2023, Jan 5, 2023 (2 updates tracked since 2023).

About Michelle Ruhnke Fnp NPPES

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

MICHELLE RUHNKE FNP (NPI 1790498616) is an individual family provider in San Antonio, Texas, licensed in Texas (1105865) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790498616
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE RUHNKECredential: FNP
Location Address4236 THOUSAND OAKS DR STE 101San Antonio, TX 78217-1863
Mailing Address4236 Thousand Oaks Dr Ste 101San Antonio, TX 78217-1959 · (210) 944-0917 · Fax (210) 864-2904
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 5, 2023
Last NPPES UpdateOctober 13, 20252 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
NPI 1790498616 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 · 1105865
4236 THOUSAND OAKS DR STE 101, San Antonio, TX 78217

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

Michelle Ruhnke Fnp 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 ID3476693607
PECOS Enrollment IDI20230417002193
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 3

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.
19 services11 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.
16 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78217 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

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

Clinic/Center (Primary Care)
4236 THOUSAND OAKS DR STE 101
SAN ANTONIO, TX 78217

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 Michelle Ruhnke's NPI number?

The NPI number for Michelle Ruhnke is 1790498616. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Where is Michelle Ruhnke located?

Michelle Ruhnke practices at 4236 Thousand Oaks Dr Ste 101, San Antonio, TX 78217. The listed phone number is (210) 269-0654.

What is Michelle Ruhnke's specialty?

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

Is Michelle Ruhnke enrolled in Medicare?

Yes. Michelle Ruhnke 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 Michelle Ruhnke accept?

Health plans from Oscar Insurance Company list Michelle Ruhnke 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 Michelle Ruhnke was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.