Zeus Sontillanosa Arco, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP137403 Issued in TX

Practice address

15321 Highway 124
Beaumont, TX 77705-9127

Phone

(409) 794-2314

NPI assigned

May 16, 2018

Last updated

May 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fannett Family Medical CenterGroup PAC ID 8022374610, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fannett Family Medical Center

  • Primary Care Clinic/Center
  • Beaumont, TX
  • NPI 1245781541
  Medicare reassignment Care Compare group NPD
• Fannett Medical Center

  • Primary Care Clinic/Center
  • Beaumont, TX
  • NPI 1275928673
  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1386134278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 GRAYSON LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777134158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15321 HIGHWAY 124",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777059127",
            "telephone_number": "409-794-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCO",
        "first_name": "ZEUS",
        "middle_name": "SONTILLANOSA",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP137403",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "TX",
            "license": "AP137403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan W Apperson, MED LPC
• Shinette Appling, O.T.
• Apria Healthcare LLC
• Aqueduct Home Care LLC
• Daisy Mae Arco
• Akila Sade Ardoin
• Qamar U Arfeen, M.D.
• Terrie Ann Armstrong
• Ken Arola, D. C.
• Lea Arreglo, PT

• Adult Health Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.