MELLYRUTH MALDONADO FNP-C
NPI 1851923783
Nurse Practitioner - Family in Boerne, TX

Q: What is Mellyruth Maldonado's NPI number?

The NPI number for Mellyruth Maldonado is 1851923783. It was assigned to this individual provider in the NPPES registry on February 8, 2020.

Q: What is Mellyruth Maldonado's specialty?

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

Active since February 08, 2020PECOS EnrolledAccepts Medicare Assignment

25723 OLD FREDERICKSBURG RD, BOERNE, TX 78015(210) 450-6800 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 23, 2026, Aug 5, 2025, Jul 10, 2025 and 2 more (5 updates tracked since 2020).

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About Mellyruth Maldonado Fnp-c NPPES

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

MELLYRUTH MALDONADO FNP-C (NPI 1851923783) is an individual family provider in Boerne, Texas, licensed in Texas (AP145061) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1851923783

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELLYRUTH MALDONADOCredential: FNP-C

Location Address25723 OLD FREDERICKSBURG RDBoerne, TX 78015-6605

Mailing Address25723 Old Fredericksburg RdBoerne, TX 78015-6605 · (210) 450-6800

Phone(210) 450-6800

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 8, 2020

Last NPPES UpdateJanuary 23, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2026

✔ NPI 1851923783 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 · AP145061

25723 OLD FREDERICKSBURG RD, Boerne, TX 78015

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Secondary Practice Location 1

Location 17979 Wurzbach Rd Ste G467San Antonio, TX 78229-4427 · Phone (210) 450-6365

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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

Mellyruth Maldonado Fnp-c 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 ID9234647645

PECOS Enrollment IDI20250805003749

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 78015 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 17

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

DR. LADELLE MORSE M.D.

Physical Medicine & Rehabilitation