MONICA CANEDO ANP
NPI 1811239197
Nurse Practitioner - Adult Health in San Antonio, TX

Active since March 25, 2013PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
5223 HAMILTON WOLFE RD, SAN ANTONIO, TX 78229(210) 614-1234(210) 614-0952 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Monica Canedo Anp NPPES

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

MONICA CANEDO ANP (NPI 1811239197) is an individual adult health provider in San Antonio, Texas, licensed in Texas (703868) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2012).

NPPES Registry Identity

NPI1811239197
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMONICA CANEDOCredential: ANP
Location Address5223 HAMILTON WOLFE RDSan Antonio, TX 78229-4463
Mailing Address8415 Datapoint Dr, Suite 1000San Antonio, TX 78229-3298 · (210) 614-1234 · Fax (210) 614-0952
Fax(210) 614-0952
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2012
Enumeration DateMarch 25, 2013
Last NPPES UpdateAugust 2, 2019
NPI 1811239197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in TX · 703868
5223 HAMILTON WOLFE RD, San Antonio, TX 78229

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

Monica Canedo Anp 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 ID1254573280
PECOS Enrollment IDI20130805000138
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

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, 30-39 minutes 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.
300 services194 patients

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Other Providers at the Same Location NPPES 17

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

Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229

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 Monica Canedo's NPI number?

The NPI number for Monica Canedo is 1811239197. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Where is Monica Canedo located?

Monica Canedo practices at 5223 Hamilton Wolfe Rd, San Antonio, TX 78229. The listed phone number is (210) 614-1234.

What is Monica Canedo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Monica Canedo enrolled in Medicare?

Yes. Monica Canedo 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 Monica Canedo accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Monica Canedo 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 Monica Canedo was last updated on August 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.