MARYSSA L ST. CLAIR (FNP-C) – Nurse Practitioner, NPI 1811878242

MARYSSA L ST. CLAIR (FNP-C) is a healthcare provider. based in San antonio, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1212936 (TX). The NPI Number for MARYSSA L ST. CLAIR (FNP-C) is 1811878242

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MARYSSA L ST. CLAIR (FNP-C)
NPI
1811878242
Phone
(361) 800-3679
Address
22315 WHITE DOE PASS
Enumeration Date
11 September 2025
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
2105754000
Graduation Year
2025 (1 year ago)
PAC ID
7719463082
Group Practice PAC ID
3678842978
Professional Enrollment ID
I20260107002336
Address ID
TX782293902SA7700XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MARYSSA L ST. CLAIR (FNP-C)

  • 22315 WHITE DOE PASS

    SAN ANTONIO, TX 782552410

    Phone: (361) 800-3679

    Mailing address matches the actual address.

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: 2026-01-07

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
I20260107002336INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78255)

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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: 3678842978View full group profile
NameSpecialtyState
Internal MedicineTX
Internal Medicine, Hospice/Palliative CareTX
Hospitalist, Family PracticeTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Where can patients find MARYSSA L ST. CLAIR (FNP-C)'s NPI?
You can confirm MARYSSA L ST. CLAIR (FNP-C) with NPI 1811878242; it appears in the national provider directory.
Is MARYSSA L ST. CLAIR (FNP-C) active in the national directory?
MARYSSA L ST. CLAIR (FNP-C)'s public NPI profile is in an active state.
What field does MARYSSA L ST. CLAIR (FNP-C) work in?
You can think of MARYSSA L ST. CLAIR (FNP-C) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MARYSSA L ST. CLAIR (FNP-C) practice in Texas?
You will see San Antonio, Texas on file for MARYSSA L ST. CLAIR (FNP-C) alongside any extra practice locations.
What if San Antonio, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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