Individual provider Active NPI

Nicky Joe Paniagua, FNP-C

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1306665658
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1176049 Issued in TX
Practice address
9615 Frankford Ave FL 2
Lubbock, TX 79424-4461
Phone
(806) 761-0267
NPI assigned
Oct 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1176049 TX Primary

Addresses

Primary practice location

9615 Frankford Ave FL 2
Lubbock, TX 79424-4461

Mailing address

5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3545
Phone (806) 761-0334

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicky.paniagua1@direct.myteamcare.com

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
I20241113000028 TX Practitioner - Nurse Practitioner 9537693650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umc PhysiciansGroup PAC ID 9830003631, 107 clinicians

Practice addresses (Care Compare)

6002 Slide Rd
D24
Lubbock, TX 79414-4310
Phone (806) 761-0450

Hospital & facility affiliations

  • University Medical Center Hospital, Lubbock, TX, CCN 450686

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1176049TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umc Physicians Family CurrentSince Nov 13, 2024 Accepting new patients

Locations

808 Joliet Ave
Lubbock, TX 79415
Phone (806) 722-7400

9615 Frankford Ave
Fl 2
Lubbock, TX 79424
Phone (806) 761-0267

5219 City Bank Pkwy
Ste 35
Lubbock, TX 79407
Phone (806) 761-0334

6002 Slide Rd
#D24
Lubbock, TX 79414
Phone (806) 761-0450

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1306665658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073545",
            "telephone_number": "806-761-0334",
            "fax_number": "806-785-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9615 FRANKFORD AVE FL 2",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794244461",
            "telephone_number": "806-761-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANIAGUA",
        "first_name": "NICKY",
        "middle_name": "JOE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-04",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1176049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicky.paniagua1@direct.myteamcare.com",
            "affiliation": "N",
            "address_1": "9615 Frankford Ave Fl 2",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794244461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.