Provider Profile
Michelle Ruhnke, FNP is a nurse practitioner practicing in San Antonio, TX. Michelle is also listed as specializing in nurse practitioner — family. According to Medicare claims data, Michelle cared for 39 Medicare patients across 47 services. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, insertion of needle into vein for collection of blood sample, and new patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more. This provider record is associated with NPI 1790498616.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
4236 THOUSAND OAKS DR STE 101
San Antonio, TX 78217
47 services · 39 patients · 3 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Insertion of needle into vein for collection of blood sample | Procedure | 36415 |
16 | Less often than most peers in Nurse Practitioner |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
19 | Less often than most peers in Nurse Practitioner |
| New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | Office visit | 99205 |
12 | Less often than most peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Michelle Ruhnke is a nurse practitioner in San Antonio, TX. That is the designation recorded for this NPI in the federal registry.
NPI registry
Michelle Ruhnke is listed at 4236 Thousand Oaks Dr Ste 101, San Antonio, TX 78217. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (210) 269-0654. Contact the office directly to confirm availability and scheduling.
NPI registry
Michelle Ruhnke's National Provider Identifier is 1790498616. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Michelle Ruhnke attended Other, graduating in 2022. This comes from the CMS National Downloadable File.
CMS public data
Michelle Ruhnke has 4 years experience. Calculated from a graduation year of 2022, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Michelle Ruhnke performs procedures including insertion of needle into vein for collection of blood sample, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Michelle Ruhnke. If this is you, claiming it is free.
Guide.md
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