Priscilla Galliguez Carroll, FNP-BC
Individual provider Active NPI Nurse Practitioner · Lancaster, TX
NPI 1578069381 · NPPES record last updated Mar 22, 2021
Key facts
- NPI
- 1578069381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP136607 (TX)
- Practice address
- 2700 W Pleasant Run Rd Ste 220
Lancaster, TX 75146-1004 - Phone
- (888) 871-1883
- Fax
- (888) 900-4530
- NPI assigned
- Apr 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry G Raroque Jr MD PA
Practice addresses (Care Compare)
1215 Kinwest Boulevard
Suite 120
Irving, TX 75063-3404
1215 Kinwest Pkwy
Irving, TX 75063-3403
Phone (214) 496-0500
Hospital & facility affiliations
- Baylor Scott & White Medical Center Grapevine
- Baylor Scott & White Medical Center at Irving
- Ut of Texas Southwestern University Hospital - William P. Clements Jr.
- Baylor Scott & White Institute for Rehabilitation
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210407002696 | TX | Practitioner - Nurse Practitioner | 4284041336 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP136607 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry G Raroque Jr MD PA | Current |
Accepting new patients |
Locations
701 Tuscan Dr
Ste 280
Irving, TX 75039
Phone (214) 496-0500
1215 Kinwest Pkwy
#120
Irving, TX 75063
Phone (214) 496-0500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP136607 | TX | Yes |
Addresses
Primary practice location
2700 W Pleasant Run Rd Ste 220
Lancaster, TX 75146-1004
Mailing address
2700 W Pleasant Run Rd
Ste 220
Lancaster, TX 75146-1004
Phone (888) 871-1883
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP136607 | Other | TX | NP LICENSE |
Other providers in Lancaster, TX
- Callie House
- Care by Faith Legacy Group
- Care-a-Lot Home Health Agency, Inc
- Caregivers of Faith
- Amanda L Carlile
- Damita Carter
- Kenneth Michael Caulder
- Shannon Nicole Celestine-Brown
- Centenary Family & Urgent Care
- Champions Haven Assisted Living Inc.
All providers in Lancaster, TX · Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.