Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Pequeno, AG-ACNP

Individual provider Nephrology Physician · NPI 1467944256

Michael Pequeno, AG-ACNP is a Nurse Practitioner in San Antonio, Texas. Qualified in 2017, 9 years ago. Practices with Methodist Physician Practices PLLC, a 173-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1200 Brooklyn Ave
San Antonio, TX 78212-4803
Phone: (210) 281-9800
Fax: (210) 281-1001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 315 N San Saba Ste 102, San Antonio, TX 78207-3196 — (210) 277-1418
  • 311 Camden St Ste 102, San Antonio, TX 78215-2003 — (210) 281-9800

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP136257 (TX)
Nephrology Physician Taxonomy 207RN0300X · Licence AP136257 (TX)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP136257 (TX)

Record details

NPI number1467944256
Entity typeIndividual (Type 1)
GenderMale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedJune 6, 2018
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Methodist Physician Practices Pllc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in San Antonio