P Praxis·MD
● Active Type 1 · Individual

DR. Susan J Van Fossen, RN, MSN, BC, PMHNP,

Nurse Practitioner·San Antonio, TX· NPI 1558309328 · Enumerated 2006 · 19 years on NPI
Van Fossen is 1 of 351 nurse practitioner providers in San Antonio and 1 of 5095 in Texas.
NPI age
19 years
Enumerated 2006-06-03
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-02-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5095 active nurse practitioner providers in Texas.

NPI age
19 years
↑ 15 yr above median (4 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
616 W Russell Pl
San Antonio, TX 782123658
📞 8002578715fax 8008191655
Mailing address
1105 Cliff Swallow Dr
Granbury, TX 760482651
📞 8175796757fax 8008191655

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #232874 taxonomy 363LP0808X

Identifiers

TypeValueNotes
01 (TX) 87N290 BLUE CROSS BLUE SHIELD
05 (TX) 118282603
01 (TX) 118282605 INDIVIDUAL
05 (TX) 118282601
01 (TX) 500012787 RAILROAD
05 (TX) 118282602
01 (TX) 8N3327 BLUE CROSS BLUE SHIELD

Practice context

Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.

Recently enumerated nearby: 18 new nurse practitioner providers have been added in San Antonio in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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