Tinesha Rios
NPI 1639575053 · Family Nurse Practitioner · San Antonio, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tinesha Rios is a Family Nurse Practitioner provider in San Antonio, TX (NPI 1639575053).
Provider details
- NPI number
- 1639575053
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 74443 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
293 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 107 | $108 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 73 | $80 |
| Annual Wellness Visit; Includes a Personalized Prevention Plan of Service (pps), Initial VisitG0438 | 53 | $138 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 39 | $54 |
| Initial Preventive Physical Examination; Face-To-Face Visit, Services Limited to New Beneficiary During the First 12 Months of Medicare EnrollmentG0402 | 21 | $109 |
Typical Medicare-allowed amounts for these services range $54–$138 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 35 | 19 |
| Pantoprazole Sodium | 19 | — |
| Atorvastatin Calcium | 18 | 12 |
| Metformin Hcl | 17 | — |
| Fluticasone Propionate | 16 | — |
| Montelukast Sodium | 14 | — |
| Hydroxyzine Hcl | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$777 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 500 Marquette Ave Nw Ste 1200Albuquerque, NM 87102-5312Phone: (505) 359-5222Fax: (505) 485-0532
Registry dates
- Enumerated
- 2014-11-12
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Frequently asked questions
- What is Tinesha Rios's NPI number?
- Tinesha Rios's National Provider Identifier (NPI) is 1639575053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tinesha Rios's specialty?
- Tinesha Rios is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tinesha Rios located?
- Tinesha Rios's practice location on file with NPPES is 2121 Sw 36th St, San Antonio, TX 78237-3360.
- What is Tinesha Rios's phone number?
- The practice phone number listed in the NPPES registry for Tinesha Rios is (210) 358-5100.
- Does Tinesha Rios accept Medicare?
- Tinesha Rios is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tinesha Rios's NPI active?
- Yes — Tinesha Rios's NPI (1639575053) is active in the NPPES registry as of the last update on 2026-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.