KELLY LYNN NUNEMAKER (APRN) – Family Nurse Practitioner, NPI 1629567896

KELLY LYNN NUNEMAKER (APRN) is a healthcare provider. based in San antonio, Texas. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. AP137130 (TX). The NPI Number for KELLY LYNN NUNEMAKER (APRN) is 1629567896

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KELLY LYNN NUNEMAKER (APRN)
NPI
1629567896
Phone
(210) 680-8081
Address
9410 DUGAS DR
Enumeration Date
3 May 2018
Last Update Date
2 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2106808081
Graduation Year
2017 (9 years ago)
PAC ID
0042567224
Group Practice PAC ID
3274780127
Professional Enrollment ID
I20180718003889
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for KELLY LYNN NUNEMAKER (APRN)

  • 9410 DUGAS DR

    SAN ANTONIO, TX 782451869

    Phone: (210) 680-8081

    Fax: (210) 680-3179

    Type: Mailing

  • 9410 DUGAS DR STE 104

    SAN ANTONIO, TX 78245

    Phone: (210) 680-8081

    Fax: (210) 680-3179

    Type: Location

  • 4118 POND HILL RD

    SHAVANO PARK, TX 782311281

    Phone: (210) 494-4508

    Fax: (210) 494-4508

    Type: Location

  • 5107 MEDICAL DR

    SAN ANTONIO, TX 782294801

    Phone: (210) 615-5541

    Fax: (210) 615-1666

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 245 Open Payments records for all available years, with a total value of $7,211.

Total Amount is formed as General ($7,211) + Research ($0) + Ownership ($0) = $7,211.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Lilly USA, LLC ($1,137).

Total Amount

$7,211

General + Research + Ownership

Payments

245

Total payment records

General Amount

$7,211

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-07-18

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
I20180718003889INurse 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 minutes271159$0
99213Established patient office or other outpatient visit, 20-29 minutes8878$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report7038$0
83036Hemoglobin a1c level1514$0
82962Blood glucose (sugar) test performed by hand-held instrument1111$0
View full utilization report →

Insurance plans in this area (ZIP 78245)

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Reviews

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Frequently asked questions

Can I cross-check KELLY LYNN NUNEMAKER (APRN) using NPI 1629567896?
NPI 1629567896 belongs to KELLY LYNN NUNEMAKER (APRN); compare other details if you need extra assurance.
Would KELLY LYNN NUNEMAKER (APRN) appear as active to a payer?
You can treat KELLY LYNN NUNEMAKER (APRN) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KELLY LYNN NUNEMAKER (APRN)?
KELLY LYNN NUNEMAKER (APRN)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KELLY LYNN NUNEMAKER (APRN)?
Directory geography for KELLY LYNN NUNEMAKER (APRN) centers on San Antonio, Texas.
When was this NPI issued?
Enumeration for KELLY LYNN NUNEMAKER (APRN) is noted as May 3, 2018 where the registry provides it.

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