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Active NPI 1467944256 Individual Practitioner Male Practitioner

Michael Pequeno , AG-ACNP

Nurse Practitioner • San Antonio, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Pequeno, AG-ACNP is a certified Nurse Practitioner practicing in San Antonio, TX. With approximately 9 years of clinical experience since completing medical education in 2017, Michael Pequeno delivers high-quality medical care to the local community at 1200 BROOKLYN AVE.

Michael Pequeno is affiliated with Methodist Physician Practices Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 Brooklyn Ave

San Antonio, TX 782124803

Telephone 2102819800
Fax 2102811001
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in San Antonio, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs +1.1 yrs vs City Avg
City Avg: 7.9 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
394 Specialists

Practicing in San Antonio, TX (4894 Statewide)

Telehealth Adoption Rate
9.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pequeno (9 Years) 9 Yrs
San Antonio Specialty Average (7.9 Years) 7.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
103 86 $233.26 $103.62
93000 Routine ekg using at least 12 leads including interpretation and report
50 50 $55.40 $11.62

Medical Specialties & State Licenses

CMS Verified: 2024-02-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP136257

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

State License TX AP136257

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License TX AP136257

Definition to come...

Hospital & Practice Group Affiliations

Methodist Physician Practices Pllc

6800 W Ih, San Antonio, TX 782012039

Phone: 2109321487

Methodist Physician Practices Pllc

6800 I 10, San Antonio, TX 782012039

Phone: 2105758289

Methodist Physician Practices Pllc

7390 Barlite Blvd, San Antonio, TX 782241338

Phone: 2109210000

Secondary Practice Locations

315 N San Saba Ste 102

San Antonio, TX 782073196

Phone: 2102771418

311 Camden St Ste 102

San Antonio, TX 782152003

Phone: 2102819800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Roland Flores , PA

Physician Assistant

NPI 1043234248

Physician Assistant

Dr. Jorge Magallon , MD

Internal Medicine - Interventional Cardiology

NPI 1134154172

Doctor of Medicine (M.D.)

Dr. Chad Christopherson , MD

Internal Medicine - Interventional Cardiology

NPI 1154305365

Doctor of Medicine (M.D.)

Mark Mitchell , AGACNP

Nurse Practitioner - Acute Care

NPI 1205378957

Adult-Gerontology Acute Care Nurse Practitioner

Dr. Rachel Grinnan , DO

Surgery - Vascular Surgery

NPI 1215383815

Doctor of Osteopathic Medicine (D.O.)

Dr. Zaid Altheeb , MD

Internal Medicine - Interventional Cardiology

NPI 1295085892

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 29, 2024

Registered at 1200 BROOKLYN AVE, SAN ANTONIO, TX 782124803 (Tel: 2102819800)

📍
Updated Business Mailing Address February 29, 2024

Registered at 1200 BROOKLYN AVE, SAN ANTONIO, TX 782124803 (Tel: 2102819800)

NPI Profile Active June 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2018

Registered at 315 N SAN SABA STE 102, SAN ANTONIO, TX 782073196 (Tel: 2102771418)

📍
Updated Business Mailing Address June 06, 2018

Registered at 315 N SAN SABA STE 102, SAN ANTONIO, TX 782073196 (Tel: 2102771418)

👤
Provider Name / Credentials Updated June 06, 2018

Recorded as MICHAEL PEQUENO, AG-ACNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2018

Internal Medicine (License #AP136257 in TX)

🟢
Initial NPI Registration & Enumeration June 06, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467944256
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2018
Last Update: February 29, 2024
Sole Proprietor: No

Mailing Address

1200 Brooklyn Ave

San Antonio, TX 782124803

Phone: 2102819800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.