Heather Capree Flugel, FNP-C, RNFA
NPI 1912471178ActiveIndividual· Nurse Practitioner· San Antonio, TX
Nurse Practitioner (FNP-C, RNFA) with Christus Trinity Clinic Texas and 2 other groups, practicing in San Antonio, Texas. 391 Medicare patients in 2024, $91,030 paid; nearly all of their 1,444 Part D prescriptions were generic (95%). Medtronic, Inc. was the largest of 9 companies reporting payments in 2025, $2,931 in all, mostly food and beverage. Lists Christus Santa Rosa Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1912471178 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C, RNFA |
| Sole proprietor | Yes |
| NPI issued | Jan 21, 2019 |
| Last updated in NPPES | Apr 15, 2025 |
| Certified by provider | Apr 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1102158 | TX |
| Registered Nurse, Registered Nurse First Assistant | 163WR0006X | 765639 | TX |
| Nurse Practitioner, Family | 363LF0000X | 1102158 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 391 |
|---|---|
| Services billed | 2,828 across 17 procedure codes |
| Paid by Medicare | $91,030 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,444 · 1,534 30-day fills |
|---|---|
| Patients | 259 |
| Total drug cost | $85,201 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Christus Trinity Clinic TexasTyler, TX · 1,540 clinicians
- Applebaum Physiatry PLLCSan Antonio, TX · 128 clinicians
- Adam Bruggeman MD PLLCSan Antonio, TX · 13 clinicians
Hospital affiliations
- Christus Santa Rosa Medical CenterSan Antonio, TX
- Methodist Hospital Stone OakSan Antonio, TX
- Peterson Regional Medical CenterKerrville, TX
Industry payments (Open Payments)
- 2025$2,931 · 52 payments from 9 companies
- 2024$2,725 · 56 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $1,788 | 23 |
| Globus Medical, Inc. | $820.39 | 14 |
| Boston Scientific Corporation | $198.46 | 8 |
| Orthofix Medical, Inc. | $29.94 | 2 |
| Livanova USA, Inc. | $20.03 | 1 |
What the 2025 payments were for
- Food and Beverage$1,543 · 35 payments
- Travel and Lodging$1,379 · 16 payments
- Education$9.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in San Antonio
- 1235660507
- 1639032055
- 1033358049
- 1801613120
- 1124583349
- 1285109272
- 1447886544
- 1043774383
- 1871371799
- 1629967500
- 1073162160
- 1053103010