Dianne M Rudolph, NP - Medicare Nurse Practitioner in Boerne, TX

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Dianne M Rudolph, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Boerne, Texas. She graduated from nursing school in 2004 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wellmed Medical Group Pa and her current practice location is 124 E Bandera Rd # 102, Boerne, Texas. You can reach out to her office (for appointments etc.) via phone at (830) 816-2312.

Dianne M Rudolph is licensed to practice in Texas (license number AP113442) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427095777.

Contact Information

Dianne M Rudolph, NP
124 E Bandera Rd # 102,
Boerne, TX 78006-2849
(830) 816-2312
(830) 816-2349

Map and Direction




Provider's Profile

Full NameDianne M Rudolph
GenderFemale
SpecialityNurse Practitioner
Experience21 Years
Location124 E Bandera Rd # 102, Boerne, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dianne M Rudolph graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1427095777
  • Provider Enumeration Date: 06/02/2006
  • Last Update Date: 04/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8729038492
  • Enrollment ID: I20050131000379

Medical Identifiers

Medical identifiers for Dianne M Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427095777NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WW0000XRegistered Nurse - Wound Care 561280 (Texas)Secondary
363L00000XNurse Practitioner 561280 (Texas)Secondary
363LG0600XNurse Practitioner - Gerontology AP113442 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Medical CenterSan antonio, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellmed Medical Group Pa4880657386656

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dianne M Rudolph allows following entities to bill medicare on her behalf.
Entity NameWellmed Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437156486
PECOS PAC ID: 4880657386
Enrollment ID: O20041105000519
Entity NameSouth Texas Wound Associates, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780708016
PECOS PAC ID: 3476503897
Enrollment ID: O20050124000913
Entity NameBhs Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598958431
PECOS PAC ID: 7315019593
Enrollment ID: O20080703000069
Entity NameVeda Medical, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891221636
PECOS PAC ID: 9537435250
Enrollment ID: O20171025001761
Entity NameWound Healing Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902393812
PECOS PAC ID: 2466717780
Enrollment ID: O20180607000159
Entity NameHpa Medical Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003383050
PECOS PAC ID: 3274877105
Enrollment ID: O20181204002989
Entity NameMorning Star Family Medicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932749058
PECOS PAC ID: 7517389174
Enrollment ID: O20200629000093
Entity NameHill Country Counseling And Wellness Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457925182
PECOS PAC ID: 4082086962
Enrollment ID: O20230203000261

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dianne M Rudolph is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dianne M Rudolph, NP
124 E Bandera Rd # 102,
Boerne, TX 78006-2849

Ph: (830) 816-2312		Dianne M Rudolph, NP
124 E Bandera Rd # 102,
Boerne, TX 78006-2849

Ph: (830) 816-2312

Reviews and Comments


Nurse Practitioner Nurses in Boerne, TX

Katherine Lamar Santovena, MSN, WHNP-BC, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 430 W Bandera Rd Ste 9, Boerne, TX 78006
Phone: 210-233-7000    Fax: 830-816-2103
Mr. Manuel R Flores, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 34910 Interstate 10 W Ste 301, Boerne, TX 78006
Phone: 210-202-0250    Fax: 866-546-3513
Mrs. Amanda Stephenson Reyes, MSN, FNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 17 Old San Antonio Rd Ste 201, Boerne, TX 78006
Phone: 830-267-4575    
Jacqueline Murley, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 109 Falls Ct, Suite 300, Boerne, TX 78006
Phone: 830-249-1700    
Ms. Amanda Suzanne Patton, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1102 River Rd, Boerne, TX 78006
Phone: 210-387-6809    
Mrs. Rochelle Marie Huntsman, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 105 Falls Ct Ste 100, Boerne, TX 78006
Phone: 830-249-3800    Fax: 830-249-0882
Kali Brianne Wieland, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25723 Old Fredericksburg Rd, Boerne, TX 78015
Phone: 210-450-6810    Fax: 210-450-6023

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.