Individual provider Active NPI

Deepti Nagpal, AGCNS

  • Adult Health Clinical Nurse Specialist
  • Kerrville, TX
National Provider Identifier
1306234802
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
AP126925 Issued in TX
Practice address
1121 Broadway
Kerrville, TX 78028-3514
Phone
(830) 258-7385
NPI assigned
Jan 6, 2015
Last updated
Jan 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X AP126925 TX Primary
Gerontology Clinical Nurse Specialist 364SG0600X AP126925 TX

Addresses

Primary practice location

1121 Broadway
Kerrville, TX 78028-3514

Mailing address

1121 Broadway
Kerrville, TX 78028-3514

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
I20150401001094 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 1153648142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sid Peterson Memorial HospitalGroup PAC ID 6002724887, 7 clinicians

Practice addresses (Care Compare)

1740 Junction Hwy
Kerrville, TX 78028-9401
Phone (830) 258-7900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP126925TXMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sid Peterson Memorial Hospital CurrentSince Mar 9, 2015 Accepting new patients
Sid Peterson Memorial Hospital CurrentSince Mar 9, 2015 Accepting new patients
Sid Peterson Memorial Hospital Past Accepting new patients

Locations

1121 Broadway
Kerrville, TX 78028
Phone (830) 258-6300

1740 Junction Hwy
Kerrville, TX 78028
Phone (830) 257-3800

551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414

Interoperability endpoints

  • Direct secure messaging: deepti.nagpal.1@21041.direct.athenahealth.com

Organizations & group practices 3

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": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1306234802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 BROADWAY",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 BROADWAY",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283514",
            "telephone_number": "830-258-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGPAL",
        "first_name": "DEEPTI",
        "credential": "AGCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "AP126925",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TX",
            "license": "AP126925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.