NPPES file of Aug 9, 2026

Michelle Gamio, FNP

Family Nurse Practitioner · San Antonio, TX

Michelle Gamio, FNP is a family nurse practitioner with a practice address in San Antonio, Texas, and NPI 1164820643, issued on Dec 15, 2014. Check the license (Texas AP127105, 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 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1164820643
Name
Michelle Gamio
Credential
FNP
Primary taxonomy
Family Nurse Practitioner 363LF0000X
License number
AP127105 TX
Self-reported in NPPES; status is on the state search
Practice location
7427 Eagle Ledge, San Antonio, TX 78249
Phone
(281) 513-1245
Enumerated
Dec 15, 2014
Record last updated
Jan 31, 2022
Medicare enrollment
Enrolled (PECOS I20180102002146); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Michelle Gamio 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 AP127105
    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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2.2 times the Medicare Part D claims of the average family nurse practitioner in 2024

2,894 Medicare Part D claims for 300 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims.

  1. Michelle Gamio2,894
  2. Specialty average1,305

Most prescribed

  1. Levothyroxine Sodium223 claims
  2. Atorvastatin Calcium170 claims
  3. Lisinopril119 claims
  4. Losartan Potassium119 claims
  5. Amlodipine Besylate100 claims
  6. Metformin Hcl94 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.

The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $448.56

24 payments; by number, the most common kind was food and beverage; the largest payer was Novo Nordisk Inc. The 99,489 providers of this specialty with any payment received $650.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Michelle Gamio$448.56
  2. Specialty average$650.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Methodist Physician Practices PLLCLive Oak, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Michelle Gamio among 21,242 family nurse practitioner records in Texas

Michelle Gamio, FNP is one of 21,242 family nurse practitioner records with a practice address in Texas. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 22% of them.

  • NPI issued2014 · 22% of these records are older, 74% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 53% of these records are
  • Graduated2014 · median 2018 among the 11,286 with a school on file
  • Record last updated2022 · 38% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1,362 family nurse practitioner records list a practice address in San Antonio

They are 1,362 of the 37,749 NPPES records with a practice address in San Antonio, and 21,242 family nurse practitioner records in Texas.

The 8 family nurse practitioner records with the nearest ZIP codes

  1. Nefertiti Borton-May, RN,FNPBCSan Antonio, TX 782491013233329
  2. Karen Bowers, FNP-CSan Antonio, TX 782491942799036
  3. Anna Castro, FNPSan Antonio, TX 782491841744315
  4. Catherine Chastain, RN, MSN, FNPSan Antonio, TX 782491649569088
  5. Marcel Chukwu, NPSan Antonio, TX 782491679067615
  6. Irene Coronado, R.N., F.N.P, MSNSan Antonio, TX 782491477622900
  7. Deborah Grote, F.N.P.San Antonio, TX 782491063517092
  8. Melissa Hernandez, N.P.San Antonio, TX 782491306028964

Common questions

What is Michelle Gamio, FNP's NPI number?

Michelle Gamio, FNP's National Provider Identifier (NPI) is 1164820643, issued on Dec 15, 2014. An NPI identifies a provider in billing; it is not a license.

Where is Michelle Gamio, FNP located?

The NPPES record lists a practice address at 7427 Eagle Ledge, San Antonio, TX, 78249. Phone: (281) 513-1245. Providers update this record themselves, so call before visiting.

How can I verify Michelle Gamio, FNP's license?

NPPES lists Texas license number AP127105, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.

How much does Michelle Gamio, FNP prescribe under Medicare Part D?

In 2024, Michelle Gamio, FNP had 2,894 Medicare Part D claims for 300 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.

What is Michelle Gamio, FNP's MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

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.