Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edward Ryan Kissam, AG-ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1194400473

Edward Ryan Kissam, AG-ACNP is a Nurse Practitioner in Fort Sam Houston, Texas. Qualified in 2021, 5 years ago. Practices with Transitional Care Physicians PLLC, a 43-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

3551 Roger Brooke Dr Bldg 3600
Fort Sam Houston, TX 78234-4504
Phone: (210) 916-8003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1106762 (TX)

Record details

NPI number1194400473
Entity typeIndividual (Type 1)
GenderMale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedJune 15, 2023
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Transitional Care Physicians Pllc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Sam Houston