Individual provider Active NPI

Debra Anne Utpadel, ANP

  • Adult Health Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1619210952
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP126182 Issued in TX
Practice address
1915 N Frazier St Ste 102-F29
Conroe, TX 77301-1239
Phone
(512) 947-8371
NPI assigned
Apr 5, 2013
Reactivated
Aug 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP126182 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0102148-C-NP CO
Adult Health Nurse Practitioner 363LA2200X H179165 IA
Registered Nurse 163W00000X 700735 TX
Adult Health Nurse Practitioner 363LA2200X AP5114 AZ
Adult Health Nurse Practitioner 363LA2200X C-APN.0102148-C-NP CO

Addresses

Primary practice location

1915 N Frazier St Ste 102-F29
Conroe, TX 77301-1239

Mailing address

1915 N Frazier St Ste 102-F29
Conroe, TX 77301-1239
Phone (512) 947-8371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
700735TXMDRegistered Nurse
AP5114AZMDAdult Health Nurse Practitioner
H179165IAMDAdult Health Nurse Practitioner
C-APN.0102148-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Community Health Services, Inc PastSince Dec 21, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1619210952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 N FRAZIER ST STE 102-F29",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011239",
            "telephone_number": "512-947-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 N FRAZIER ST STE 102-F29",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011239",
            "telephone_number": "512-947-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTPADEL",
        "first_name": "DEBRA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "deactivation_date": "2022-07-01",
        "reactivation_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP126182",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0102148-C-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "H179165",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "700735",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP5114",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "C-APN.0102148-C-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.