MANUELA BERRY (NP-C) – Family Nurse Practitioner, NPI 1063070308

MANUELA BERRY (NP-C) is a healthcare provider. based in San antonio, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. AP139884 (TX). The NPI Number for MANUELA BERRY (NP-C) is 1063070308

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MANUELA BERRY (NP-C)
NPI
1063070308
Phone
Not provided
Address
2277 NW MILITARY HWY # 100
Enumeration Date
2 June 2019
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2107418782
Graduation Year
2018 (8 years ago)
PAC ID
7719313949
Group Practice PAC ID
3779996590
Professional Enrollment ID
I20200207000744
Address ID
TX782491364SA4553X1604402

Contacts

Secure Messaging
kristi@kellummedical.com
Main Contact
https://www.kellummedicalgroup.com
Secure Messaging
marbach_ma@kellummedical.com
Data current as of
19 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 MANUELA BERRY (NP-C)

  • 2277 NW MILITARY HWY # 100

    SAN ANTONIO, TX 782131853

    Phone:

    Type: Mailing

  • 7323 MARBACH RD STE 104

    SAN ANTONIO, TX 782271905

    Phone: (210) 674-0257

    Fax: (210) 369-9064

    Type: Location

  • 7323 MARBACH RD

    SAN ANTONIO, TX 782271907

    Phone: (210) 674-0257

    Fax: (210) 369-9064

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 91 Open Payments records for all available years, with a total value of $1,304.

Total Amount is formed as General ($1,304) + Research ($0) + Ownership ($0) = $1,304.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($574).

Total Amount

$1,304

General + Research + Ownership

Payments

91

Total payment records

General Amount

$1,304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-02-07

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
I20200207000744INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes19085$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg12224$0
36415Insertion of needle into vein for collection of blood sample10661$0
81002Urinalysis, manual test8753$0
J0696Injection, ceftriaxone sodium, per 250 mg7616$0
View full utilization report →

Insurance plans in this area (ZIP 78213)

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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: 3779996590View full group profile
NameSpecialtyState
P O D I A T R YTX
Physician AssistantCT
Nurse PractitionerTX
Neurosurgery, NeurologyTX
Physician AssistantTX
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does MANUELA BERRY (NP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MANUELA BERRY (NP-C) uses 1063070308.
Does CMS list MANUELA BERRY (NP-C) as active?
Yes — MANUELA BERRY (NP-C) is active in the NPI listing used on this page.
What is MANUELA BERRY (NP-C) best known for clinically?
Directory data describes MANUELA BERRY (NP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MANUELA BERRY (NP-C) based?
MANUELA BERRY (NP-C) is tied to San Antonio, Texas in the data we show; additional addresses may exist on the full record.
Is the information about MANUELA BERRY (NP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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