Individual provider Active NPI

Nicole Lynn Rogers, M.D.

  • Emergency Medicine Physician
  • Plano, TX
National Provider Identifier
1487630893
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K7556 Issued in TX
Practice address
3901 W 15TH St
Plano, TX 75075-7738
Phone
(972) 758-3598
NPI assigned
Dec 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X K7556 TX Primary

Addresses

Primary practice location

3901 W 15TH St
Plano, TX 75075-7738

Mailing address

PO Box 201606
Dallas, TX 75320-1606
Phone (972) 758-3598

Other identifiers 6

IdentifierTypeStateIssuer
029711104MedicaidTX
930128385OtherTXMEDICARE RAILROAD
029711102MedicaidTX
8F4447OtherTXBCBS
930125954OtherTXMEDICARE RAILROAD
029711103MedicaidTX

Other names 1

  • Nicole B Hernandez 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080303000279 TX Practitioner - Emergency Medicine 1052495959 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Feb 1, 2003 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Feb 1, 2003 Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

13725 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-4243

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

13172 Highway 287
Haslet, TX 76052
Phone (682) 703-4410

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

1702 US Highway 181
Portland, TX 78374
Phone (361) 761-2273

400 Enterprise Blvd
Rockport, TX 78382
Phone (361) 500-1853

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Interoperability endpoints

  • Direct secure messaging: nrogers86105@ahs.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1487630893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201606",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753201606",
            "telephone_number": "972-758-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757738",
            "telephone_number": "972-758-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K7556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029711104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "930128385",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029711102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F4447",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "930125954",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029711103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HERNANDEZ",
            "middle_name": "B",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.