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NICHOLAS GAULTNEY APRN, PMHNP-BC
NPI 1912356197
Nurse Practitioner - Psychiatric/Mental Health in San Antonio, TX

Active since June 08, 2016PECOS Enrolled
14603 HUEBNER RD STE 3505, SAN ANTONIO, TX 78230(210) 985-1900(210) 985-1905 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2023, Feb 8, 2022, Jan 25, 2022 and 2 more (5 updates tracked since 2021).

About Nicholas Gaultney Aprn, Pmhnp-bc NPPES

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

NICHOLAS GAULTNEY APRN, PMHNP-BC (NPI 1912356197) is an individual psychiatric/mental health provider in San Antonio, Texas, licensed in Texas (859829) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912356197
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameNICHOLAS GAULTNEYCredential: APRN, PMHNP-BC
Location Address14603 HUEBNER RD STE 3505San Antonio, TX 78230-5469
Mailing AddressPo Box 591245San Antonio, TX 78259-0112 · (210) 985-1900 · Fax (210) 985-1905
Phone(210) 985-1900
Fax(210) 985-1905
Sole ProprietorNo
Enumeration DateJune 8, 2016
Last NPPES UpdateApril 10, 20235 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
✔ NPI 1912356197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 859829
14603 HUEBNER RD STE 3505, San Antonio, TX 78230
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Gaultney Aprn, Pmhnp-bc 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 78230 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 3

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

CANVAS MENTAL HEALTH PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
14603 HUEBNER RD STE 3505
SAN ANTONIO, TX 78230
Bexar County (210) 985-1900
RHIANNON SOUKUP PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
14603 HUEBNER RD STE 3505
SAN ANTONIO, TX 78230
Bexar County (210) 615-5230
DR. MICHELLE L. CANTU M.D.
Psychiatry & Neurology (Psychiatry)
14603 HUEBNER RD STE 3505
SAN ANTONIO, TX 78230
Bexar County (210) 615-5230

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 Nicholas Gaultney's NPI number?

The NPI number for Nicholas Gaultney is 1912356197. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Nicholas Gaultney located?

Nicholas Gaultney practices at 14603 Huebner Rd Ste 3505, San Antonio, TX 78230. The listed phone number is (210) 985-1900.

What is Nicholas Gaultney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicholas Gaultney enrolled in Medicare?

Yes. Nicholas Gaultney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Gaultney was last updated on April 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.