Maricela Selene Pacheco, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

S2866 Issued in TX

Practice address

4254 S Alameda St
Corpus Christi, TX 78412-2469

Phone

(361) 853-4191

Fax

(361) 538-7688

NPI assigned

Apr 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Texas Tech University Health Science Center School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conviva Medical Center Management of Texas, P.a.Group PAC ID 8729302278, 146 clinicians

Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Assist Home Health Home health agency, Corpus Christi, TX, CCN 747600
• Christus Homecare Spohn Home health agency, Corpus Christi, TX, CCN 677814

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maricela.pacheco.1@29601.direct.athenahealth.com
• Direct secure messaging: maricela.pacheco@conviva.eclinicaldirectplus.com

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.

• Conviva Medical Center Management of Texas, P.a.

  • Internal Medicine Physician
  • Live Oak, TX
  • NPI 1770988990

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Shea Physical Therapy Specialists LLC

  dba Shea Physical Therapy and Hand Therapy Services of Corpus Christi

  • Rehabilitation Clinic/Center
  • Corpus Christi, TX
  • NPI 1427634245
  Care Compare group
• Centerwell Senior Primary Care (SC) PC

  dba CenterWell Senior Primary Care-Orchard Park

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1376907790

  Single Specialty

  NPD

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

• LHCG Cxiii, LLC

  dba CHRISTUS Homecare SPOHN

  • Home Health Agency
  • Corpus Christi, TX
  • NPI 1548785843
  Care Compare affiliation
• Neighborhood Nursing Health Services, Inc.

  dba Assist Home Health

  • Home Health Agency
  • Corpus Christi, TX
  • NPI 1073779534
  Care Compare affiliation

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638662400000",
    "number": "1144755778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122469",
            "telephone_number": "361-853-4191",
            "fax_number": "361-538-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4254 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122469",
            "telephone_number": "361-853-4191",
            "fax_number": "361-538-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "MARICELA",
        "middle_name": "SELENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2021-12-05",
        "certification_date": "2021-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S2866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maricela.pacheco@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4254 S Alameda St",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784122469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nazire Ozcelik, M.D.
• Vicki Garcia Ozuna, MSN, APRN, NNP-BC
• P J R Group Inc (Interim Healthcare)
• Bianca Paola Pacheco
• Kaitlin Reyes Pacheco, MS, RDN, LD
• Bryan Michael Pachuta, RN
• Jason Packard, DDS
• Kevin Earl Packard, D.D.S.
• Viviana Padilla
• Padre Behavioral Health System, LLC

• Family Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.