IVY PUENTE AG-ACNP-BC
NPI 1962174300
Nurse Practitioner - Acute Care in San Antonio, TX

Active since October 04, 2021PECOS EnrolledAccepts Medicare Assignment
111 DALLAS ST, SAN ANTONIO, TX 78205(210) 297-7000 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ivy Puente Ag-acnp-bc NPPES

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

IVY PUENTE AG-ACNP-BC (NPI 1962174300) is an individual acute care provider in San Antonio, Texas, licensed in Texas (1049954) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1962174300
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameIVY PUENTECredential: AG-ACNP-BC
Location Address111 DALLAS STSan Antonio, TX 78205-1201
Mailing Address222 Rainbow DrSan Antonio, TX 78209-4350 · (210) 232-8655
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 4, 2021
NPPES CertifiedOctober 4, 2021
NPI 1962174300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TX · 1049954
111 DALLAS ST, San Antonio, TX 78205

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

Ivy Puente Ag-acnp-bc 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 ID9638567548
PECOS Enrollment IDI20211026002814
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 78205 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 20

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

Radiology (Diagnostic Radiology)
111 DALLAS ST
SAN ANTONIO, TX 78205
Psychiatry & Neurology (Psychiatry)
111 DALLAS ST
SAN ANTONIO, TX 78205
Internal Medicine
111 DALLAS ST
SAN ANTONIO, TX 78205
Physical Medicine & Rehabilitation
111 DALLAS ST
SAN ANTONIO, TX 78205
Occupational Therapist
111 DALLAS ST
SAN ANTONIO, TX 78205
Nurse Practitioner (Family)
111 DALLAS ST
SAN ANTONIO, TX 78205
Emergency Medicine
111 DALLAS ST
SAN ANTONIO, TX 78205
Long Term Care Hospital
111 DALLAS ST, 4TH FL
SAN ANTONIO, TX 78205

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 Ivy Puente's NPI number?

The NPI number for Ivy Puente is 1962174300. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Where is Ivy Puente located?

Ivy Puente practices at 111 Dallas St, San Antonio, TX 78205. The listed phone number is (210) 297-7000.

What is Ivy Puente's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Ivy Puente enrolled in Medicare?

Yes. Ivy Puente 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 Ivy Puente accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Ivy Puente 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 Ivy Puente was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.