Individual provider Active NPI

Isabella Marie Dacumos

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1104637115
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1193045 Issued in TX
Practice address
1201 N 18TH St
Abilene, TX 79601-2932
Phone
(325) 793-3100
NPI assigned
Jan 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 931954 TX
Family Nurse Practitioner 363LF0000X 1193045 TX Primary

Addresses

Primary practice location

1201 N 18TH St
Abilene, TX 79601-2932

Mailing address

1201 N 18TH St
Abilene, TX 79601-2932
Phone (325) 793-3100

Other practice location 1

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

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
I20250320003782 TX Practitioner - Nurse Practitioner 4981126745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

1201 N 18TH St
Abilene, TX 79601-2932
Phone (325) 793-3100

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Rolling Plains Memorial Hospital Hospital, Sweetwater, TX, CCN 450055
  • Comanche County Medical Center Hospital, Comanche, TX, CCN 451382
  • Stephens Memorial Hospital Hospital, Breckenridge, TX, CCN 671302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
931954TXMDRegistered Nurse
1193045TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Mar 14, 2025 Accepting new patients
Hendrick Provider Network CurrentSince Mar 14, 2025 Accepting new patients

Locations

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

1201 N 18th St
Abilene, TX 79601
Phone (325) 793-3300

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

301 Jenny George Ln
Ste 2
Sweetwater, TX 79556
Phone (325) 236-8886

Interoperability endpoints

  • Direct secure messaging: isabella.dacumos.1@21794.direct.athenahealth.com

Organizations & group practices 2

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

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": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1104637115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N 18TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012932",
            "telephone_number": "325-793-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N 18TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012932",
            "telephone_number": "325-793-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Pine St",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796012432",
            "country_code": "US",
            "telephone_number": "325-670-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DACUMOS",
        "first_name": "ISABELLA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "931954",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1193045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.