Rosa I Perez, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

710259 Issued in TX

Practice address

2557 N Veterans Blvd Ste a
Eagle Pass, TX 78852-3390

Phone

(830) 872-0074

Fax

(855) 689-6771

NPI assigned

Aug 5, 2013

Last updated

May 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fort Duncan Medical Center Hospital, Eagle Pass, TX, CCN 450092

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18627/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/18827/brand/1/csg/1/fhir/r4
• Direct secure messaging: rosa.perez.1@18627.direct.athenahealth.com

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.

• Rosa I Perez Family Practice, PLLC

  dba Rosa I Perez, MSN, APRN, FNP-BC Family Practice

  • Nurse Practitioner
  • Eagle Pass, TX
  • NPI 1750752556
  Medicare reassignment NPD Authorized official
• Carlos Hernandez, M.D., P.a.

  dba Southwestern Women's Clinic

  • Obstetrics & Gynecology Physician
  • Eagle Pass, TX
  • NPI 1932126596
  NPD

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

• Fort Duncan Medical Center LP

  dba Fort Duncan Regional Medical Center

  • General Acute Care Hospital
  • Eagle Pass, TX
  • NPI 1770579591
  Care Compare affiliation

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1255763918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 N VETERANS BLVD STE A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523390",
            "telephone_number": "830-872-0074",
            "fax_number": "855-689-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 N VETERANS BLVD STE A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523390",
            "telephone_number": "830-872-0074",
            "fax_number": "855-689-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ROSA",
        "middle_name": "I",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "710259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TX BOARD OF NURSE EXAMINERS",
            "identifier": "710259",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RECOGNIZED WITH TX RN LICENSE: FAMILY NURSE PRACTITIONER",
            "identifier": "710259",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peakform Chiropractic & Rehab LLC
• Pediatric Specialty Rural Health Clinic (Eagle Pass Pediatic Health Clinic)
• Pediatric Specialty Rural Health Clinic, LTD. (Eagle Pass Pediatric Health Clinic)
• Pediatric Specialty Rural Health Clinic,LTD (d/b/a Eagle Pass Pediatric Health Clinic)
• Luis Enrique Perales
• Victor Manuel Perez
• Performance Therapeutics - Eagle Pass PLLC
• Performance Therapeutics - Eagle Pass, PLLC
• Cynthia Picazo
• Thomas Anthony Pitts III

• Family Nurse Practitioner in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.