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Clinicians affiliated with Advanced Clinician Multispecialty Clinical Consultant Services PLLC

16 clinicians on file with this group · most practice in San Antonio-New Braunfels, TX · PAC ID 5597078550

Affiliation snapshotOctober 2, 2026CMS Doctors and Clinicians file, current snapshot (no end-of-2024 archive), applied to 2024
Activity year2024Medicare Part B claims, Original Medicare fee-for-service

13 clinicians affiliated with Advanced Clinician Multispecialty Clinical Consultant Services PLLC are in the 2024 Medicare Part B data, 2 of them physicians. Data years with affiliated clinicians: 2013, 2014, 2015, 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023, 2024.

Each clinician's exact figures are in their Physician Report, from their page; a specialty's figures in this market are in a Market Comparison. View sample report · Already purchased? Open your report

Affiliated clinicians by specialty, 2024

All specialties · Nurse Practitioner (10) · Certified Clinical Nurse Specialist (1) · General Surgery (1) · Preventive Medicine (1)

Specialty links go to the specialty in San Antonio-New Braunfels, TX.

Clinicians affiliated with Advanced Clinician Multispecialty Clinical Consultant Services PLLC, 2024

Alphabetical by last name; 13.

NameSpecialtyCity
Kimberly F Alspaugh, FNP-BCNurse PractitionerSan Antonio, TX
Grace P Canlapan, FNPNurse PractitionerSan Antonio, TX
Crystal Falco, NP-CNurse PractitionerSan Antonio, TX
Adrienne R Garcia, ACNPNurse PractitionerLive Oak, TX
Molly M Hartmann, M.D.General SurgerySan Antonio, TX
Raul A Macchia, DNPNurse PractitionerSan Antonio, TX
Keri Mcphail, NPNurse PractitionerSan Antonio, TX
Hailey N Nguyen, AG-CNSCertified Clinical Nurse SpecialistSchertz, TX
Nicole ParedesNurse PractitionerSan Antonio, TX
Brian Ramos, FNPNurse PractitionerLive Oak, TX
Jo Anna Ramos, NP-CNurse PractitionerSan Antonio, TX
Jose A Ramos, ACNPNurse PractitionerSan Antonio, TX
Khan Z Shirani, MD, MS, MPH, MBAPreventive MedicineSan Antonio, TX

Practice locations

Listed practice locations in Texas.

Source: CMS Doctors and Clinicians National Downloadable File, snapshot October 2, 2026.

Membership comes from the CMS Doctors and Clinicians file. CMS does not publish an end-of-year archive of it, so the current snapshot is applied to every data year. A clinician affiliated with several groups or hospitals appears on each of their pages. How group pages are built · Limitations