Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Staci Christine Fetter, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1942070305

Staci Christine Fetter, AGNP-C is a Nurse Practitioner in San Antonio, Texas. Qualified in 2023, 3 years ago. Practices with San Antonio Premier Internal Medicine, PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2024
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Practice location Address checks out

1032 S Ww White Rd
San Antonio, TX 78220-2531
Phone: (210) 447-3033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 1138807 (TX)

Record details

NPI number1942070305
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJanuary 8, 2024
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice San Antonio Premier Internal Medicine, Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Antonio