NPIMap

Individual provider Active NPI

Patrice Ihry, FNP

  • Family Nurse Practitioner
  • Waco, TX
National Provider Identifier
1083018220
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126061 Issued in TX
Practice address
364 Richland West Cir Ste a
Waco, TX 76712
Phone
(254) 537-0911
Fax
(254) 537-0313
NPI assigned
Oct 17, 2014
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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 AP126061 TX Primary

Addresses

Primary practice location

364 Richland West Cir Ste a
Waco, TX 76712

Mailing address

PO Box 23189
Waco, TX 76702-3189
Phone (254) 537-0911

Other practice location 1

2401 S 31st St
Temple, TX 76508-0001
Phone (254) 724-4365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150120001819 TX Practitioner - Nurse Practitioner 6406170588 Reassigns benefits to 4 organizations

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
Waco Gastroenterology AssociatesGroup PAC ID 5991795056, 15 clinicians

Practice addresses (Care Compare)

364 Richland W Cir
Suite a
Waco, TX 76712-7919
Phone (254) 537-0911

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP126061TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic CurrentSince Jan 1, 2016 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Feb 23, 2016 Accepting new patients
Waco Gastroenterology Associates CurrentSince Aug 13, 2018 Accepting new patients
Century Integrated Partners, Inc CurrentSince Jan 1, 2016 Accepting new patients
Scott & White Clinic CurrentSince Jan 1, 2016 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Feb 23, 2016 Accepting new patients
Medhealth PastSince Aug 13, 2018 Accepting new patients

Locations

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

546 N Kegley Rd
Temple, TX 76502
Phone (254) 215-0900

364 Richland West Cir
#A
Waco, TX 76712
Phone (254) 537-0911

Organizations & group practices 7

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 4

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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1083018220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23189",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767023189",
            "telephone_number": "254-537-0911",
            "fax_number": "254-537-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 RICHLAND WEST CIR STE A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-537-0911",
            "fax_number": "254-537-0313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-4365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IHRY",
        "first_name": "PATRICE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.