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Active NPI 1912471178 Individual Practitioner Female Practitioner

Heather Capree Flugel , FNP-C, RNFA

Nurse Practitioner • San Antonio, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Heather Flugel, FNP-C, RNFA is a certified Nurse Practitioner practicing in San Antonio, TX. With approximately 4 years of clinical experience since completing medical education in 2022, Heather Flugel delivers high-quality medical care to the local community at 2829 BABCOCK RD STE 106.

Heather Flugel maintains professional affiliations with Applebaum Physiatry Pllc, Christus Trinity Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, testing for presence of drug, by chemistry analyzers, injection, dexamethasone sodium phosphate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2829 Babcock Rd Ste 106

San Antonio, TX 782296009

Telephone 2109519055
Associated Practice Facility / Clinic
🏢 Tn Spine Pllc Facility NPI 1407226962

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in San Antonio, TX

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -3.9 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
65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Flugel (4 Years) 4 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 (2024)
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
545 232 $279.94 $102.25
99213 Established patient office or other outpatient visit, typically 15 minutes
354 220 $199.25 $72.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
224 173 $123.55 $45.13
80307 Testing for presence of drug, by chemistry analyzers
147 111 $200.00 $59.84
J1100 Injection, dexamethasone sodium phosphate, 1 mg
75 12 $0.25 $0.11
J1885 Injection, ketorolac tromethamine, per 15 mg
55 29 $1.61 $0.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
39 38 $31.12 $11.32

Medical Specialties & State Licenses

CMS Verified: 2025-04-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 1102158

(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.

Registered Nurse - Registered Nurse First Assistant

NUCC Taxonomy Code: 163WR0006X

State License TX 765639

A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX 1102158

Definition to come...

Hospital & Practice Group Affiliations

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Applebaum Physiatry Pllc

11106 Christus Hls, San Antonio, TX 782513584

Phone: 2106726190

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Secondary Practice Locations

11212 Tx 151 Medical Plaza Ste 260

San Antonio, TX 78251

Phone: 2109519055

520 E Euclid Ave

San Antonio, TX 782124414

Phone: 2105812837

Practice Associates & Co-Workers

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

8 Associated Practitioners
Jose Fuentez, Jr. , PA-C

Physician Assistant

NPI 1033445333

Physician Assistant (Certified)

NPI 1043068554

ACNPAG, Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Cynthia Voorhees , RN, MSN

Nurse Practitioner - Acute Care

NPI 1164674123

Registered Nurse, Master of Science in Nursing

Dr. George Galvan , MD

Neurological Surgery

NPI 1255512539

Doctor of Medicine (M.D.)

Dr. Juanita Garces , MD

Neurological Surgery

NPI 1700176807

Doctor of Medicine (M.D.)

Dr. Juan Padilla Maiz , MD

Neurological Surgery

NPI 1770571416

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location April 15, 2025

Registered at 2829 BABCOCK RD STE 106, SAN ANTONIO, TX 782296009 (Tel: 2109519055)

📍
Updated Practice Location August 23, 2024

Registered at 520 E EUCLID AVE, SAN ANTONIO, TX 782124414 (Tel: 2105812837)

📍
Updated Practice Location May 17, 2023

Registered at 5000 SCHERTZ PKWY STE 400, SCHERTZ, TX 781541457 (Tel: 2104957246)

📍
Updated Practice Location December 30, 2022

Registered at 5330 N LOOP 1604 W ACCESS RD, SAN ANTONIO, TX 78249 (Tel: 2108778000)

📍
Updated Business Mailing Address December 30, 2022

Registered at 966 DEEP WATER DR, SPRING BRANCH, TX 780705874 (Tel: 3256608535)

👤
Provider Name / Credentials Updated December 30, 2022

Recorded as HEATHER FLUGEL, FNP-C, RNFA

NPI Profile Active January 21, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2019

Registered at 1139 E SONTERRA BLVD, SAN ANTONIO, TX 782584347 (Tel: 2106382000)

📍
Updated Business Mailing Address January 21, 2019

Registered at 3735 SUMANTRA CLF, SAN ANTONIO, TX 782612399 (Tel: 3256608535)

👤
Provider Name / Credentials Updated January 21, 2019

Recorded as HEATHER UNDERWOOD, R.N.F.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2019

Registered Nurse (License #765639 in TX)

🟢
Initial NPI Registration & Enumeration January 21, 2019

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: 1912471178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2019
Last Update: April 15, 2025
Sole Proprietor: Yes

Mailing Address

966 Deep Water Dr

Spring Branch, TX 780705874

Phone: 3256608535

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.