BERNADETTE GENOSA (APRN, AG-ACNP) – Acute Care Nurse Practitioner, NPI 1053887018

BERNADETTE GENOSA (APRN, AG-ACNP) is a healthcare provider. based in San antonio, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, AG-ACNP. They hold a License No. AP139354 (TX). The NPI Number for BERNADETTE GENOSA (APRN, AG-ACNP) is 1053887018

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
BERNADETTE GENOSA (APRN, AG-ACNP)
NPI
1053887018
Phone
(210) 253-9955
Address
1806 ESTONIA CV
Enumeration Date
17 October 2018
Last Update Date
11 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9792076550
Graduation Year
2018 (8 years ago)
PAC ID
3870925894
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20191113002014
Address ID
TX778458696CO1280XRDXX301

Contacts

Secure Messaging
bgenosa1467533@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness95
Years active:7State licenses:1Other names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for BERNADETTE GENOSA (APRN, AG-ACNP)

  • 1806 ESTONIA CV

    SAN ANTONIO, TX 782515015

    Phone: (210) 253-9955

    Type: Mailing

  • 700 SCOTT AND WHITE DR

    COLLEGE STATION, TX 778456441

    Phone: (979) 207-0100

    Type: Location

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (800) 994-0372

    Fax: (254) 215-9722

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191113002014INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4847$0
View full utilization report →

Insurance plans in this area (ZIP 78251)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

Can I cross-check BERNADETTE GENOSA (APRN, AG-ACNP) using NPI 1053887018?
NPI 1053887018 belongs to BERNADETTE GENOSA (APRN, AG-ACNP); compare other details if you need extra assurance.
Would BERNADETTE GENOSA (APRN, AG-ACNP) appear as active to a payer?
You can treat BERNADETTE GENOSA (APRN, AG-ACNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for BERNADETTE GENOSA (APRN, AG-ACNP)?
At a glance, BERNADETTE GENOSA (APRN, AG-ACNP) is tied to Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BERNADETTE GENOSA (APRN, AG-ACNP)?
Travel planning: use San Antonio, Texas as the reference point for BERNADETTE GENOSA (APRN, AG-ACNP), then confirm.
Can I trust this NPI listing for BERNADETTE GENOSA (APRN, AG-ACNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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