Individual provider Active NPI

Annie M Diaz, FNP-C

  • Nurse Practitioner
  • Alice, TX
National Provider Identifier
1245726546
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
723824 Issued in TX
Practice address
1008 Medical Center Blvd
Alice, TX 78332-4212
Phone
(361) 668-4279
Fax
(361) 668-6309
NPI assigned
Jul 10, 2018
Last updated
Jul 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 723824 TX Primary

Addresses

Primary practice location

1008 Medical Center Blvd
Alice, TX 78332-4212

Mailing address

1008 Medical Center Blvd
Alice, TX 78332-4212
Phone (361) 668-4279

Other names 1

  • Annie M Garcia Former name

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
I20180924001243 TX Practitioner - Nurse Practitioner 0547511081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Usman Qureshi, MD, PAGroup PAC ID 4486658028, 7 clinicians

Practice addresses (Care Compare)

1008 Medical Ctr Blvd
Alice, TX 78332-4212
Phone (361) 668-4278

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
88.97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
723824TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usman Qureshi, MD, PA CurrentSince Jul 9, 2018 Accepting new patients

Locations

1008 Medical Center Blvd
Alice, TX 78332
Phone (361) 668-4278

Organizations & group practices 1

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 1

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": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1245726546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 MEDICAL CENTER BLVD",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324212",
            "telephone_number": "361-668-4279",
            "fax_number": "361-668-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MEDICAL CENTER BLVD",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324212",
            "telephone_number": "361-668-4279",
            "fax_number": "361-668-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ANNIE",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "723824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "GARCIA",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.