Individual provider Active NPI

Daisy Mae Arco

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1083008320
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127771 Issued in TX
Practice address
15321 Highway 124
Beaumont, TX 77705-9127
Phone
(409) 794-2314
Fax
(866) 414-9725
NPI assigned
Mar 25, 2015
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP127771 TX Primary

Addresses

Primary practice location

15321 Highway 124
Beaumont, TX 77705-9127

Mailing address

15321 Highway 124
Beaumont, TX 77705-9127
Phone (409) 794-2314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160226001303 TX Practitioner - Nurse Practitioner 3375848427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fannett Family Medical CenterGroup PAC ID 8022374610, 2 clinicians

Practice addresses (Care Compare)

15321 Hwy 124
Beaumont, TX 77705-9127
Phone (409) 794-2314

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fannett Medical Center Past Accepting new patients
Rogelio D Mendoza MD PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: arcohealthcare.daisyarco@134024.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1083008320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15321 HIGHWAY 124",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777059127",
            "telephone_number": "409-794-2314",
            "fax_number": "866-414-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15321 HIGHWAY 124",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777059127",
            "telephone_number": "409-794-2314",
            "fax_number": "866-414-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCO",
        "first_name": "DAISY MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.