NPPES file of Aug 9, 2026

Carlos Cosme-Thillet, FNP

General Practice Registered Nurse · San Antonio, TX

Carlos Cosme-Thillet, FNP is a general practice registered nurse with a practice address in San Antonio, Texas, and NPI 1225467327, issued on Nov 8, 2013. Check the license (Texas 659161, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1225467327
Name
Carlos Cosme-Thillet
Credential
FNP
Primary taxonomy
General Practice Registered Nurse 163WG0000X
License number
659161 TX
Self-reported in NPPES; status is on the state search
Practice location
7355 Barlite Blvd, San Antonio, TX 78224
Phone
(210) 222-0333
Enumerated
Nov 8, 2013
Record last updated
Nov 8, 2013 (not updated in 13 years: call before relying on the address or phone)
Fax
(210) 928-4837
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 7355 Barlite Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Steven Argumedo, MDInternal Medicine Physician1780864751
  2. Jessica Buzenas, MDInternal Medicine Physician1538311022
  3. Jacob CavazosPediatric Nurse Practitioner1598400566
  4. Cresencio Duran, DOFamily Medicine Physician1689848137
  5. Mary HolmesPhysical Therapy Assistant1700996410
  6. Darryl Longee, MDPediatric Hematology & Oncology Physician1912077025

Verify Carlos Cosme-Thillet in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this profession
    Search for license 659161
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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6% fewer Medicare Part D claims than the average general practice registered nurse in 2024

1,337 Medicare Part D claims for 53 beneficiaries, against an average of 1,419 among the 111 providers of this specialty who prescribed in Part D.

  1. Carlos Cosme-Thillet1,337
  2. Specialty average1,419

Most prescribed

  1. Rosuvastatin Calcium85 claims
  2. Levocetirizine Dihydrochloride66 claims
  3. Lisinopril56 claims
  4. Gabapentin48 claims
  5. Glimepiride43 claims
  6. Metformin Hcl38 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Carlos Cosme-Thillet among 229 general practice registered nurse records in Texas

Carlos Cosme-Thillet, FNP is one of 229 general practice registered nurse records with a practice address in Texas. 5% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 12% of them.

  • NPI issued2013 · 12% of these records are older, 86% newer
  • In a Medicare fileYes · 5% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2013 · 37% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 163WG0000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

General Practice Registered Nurse providers in Texas

There are 229 general practice registered nurse records in Texas.

The 8 general practice registered nurse records with the nearest ZIP codes

  1. Deborah Ramirez, RNSan Antonio, TX 782241902698731
  2. Robyn Bryant, MSN RNSan Antonio, TX 782291154137313
  3. Lisa Cleveland, NPSan Antonio, TX 782291457675068
  4. Joseph Cousert, RNSan Antonio, TX 782291093542888
  5. William Emery, RNSan Antonio, TX 782291326850652
  6. Gabrielle Guerrero, BSN RNSan Antonio, TX 782291952137457
  7. Michele Lara, RNSan Antonio, TX 782291760218937
  8. Kimberly LargeSan Antonio, TX 782291104648237

Common questions

What is Carlos Cosme-Thillet, FNP's NPI number?

Carlos Cosme-Thillet, FNP's National Provider Identifier (NPI) is 1225467327, issued on Nov 8, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Carlos Cosme-Thillet, FNP located?

The NPPES record lists a practice address at 7355 Barlite Blvd, San Antonio, TX, 78224. Phone: (210) 222-0333. Providers update this record themselves, so call before visiting.

How can I verify Carlos Cosme-Thillet, FNP's license?

NPPES lists Texas license number 659161, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.

How much does Carlos Cosme-Thillet, FNP prescribe under Medicare Part D?

In 2024, Carlos Cosme-Thillet, FNP had 1,337 Medicare Part D claims for 53 beneficiaries; the average among general practice registered nurse prescribers was 1,419. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.