Active NPI
Gabriela Pacheco, FNP-C
- Family Nurse Practitioner
- Decatur, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1150312
- Practice address
- 215 Westside Dr Ste 200
Decatur, TX 76234-3869 - Phone
- (940) 273-5700
- Fax
- (940) 273-5699
- NPI assigned
- Jan 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1150312 | TX | Primary |
Addresses
Primary practice location
215 Westside Dr Ste 200
Decatur, TX 76234-3869
Mailing address
324 Eastland LN
Wichita Falls, TX 76305-7283
Phone (918) 850-8356
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240730001819 | TX | Practitioner - Nurse Practitioner | 3870030620 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Texas Oncology PA
Practice addresses (Care Compare)
5400 Kell Blvd
Wichita Falls, TX 76310-1610
Phone (940) 691-8271
Hospital & facility affiliations
- United Regional Health Care System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1150312 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Current | Accepting new patients | |
| Vitality Medical PLLC | Family | Current | Accepting new patients |
| Texas Oncology PA | Current | Accepting new patients |
Locations
215 Westside Dr
Ste 200
Decatur, TX 76234
Phone (940) 273-5700
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
5400 Kell Blvd
Wichita Falls, TX 76310
Phone (940) 689-2632
Interoperability endpoints
- gabriela.pacheco@txo.ikm.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.
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1619738457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 EASTLAND LN",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763057283",
"telephone_number": "918-850-8356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 WESTSIDE DR STE 200",
"city": "DECATUR",
"state": "TX",
"postal_code": "762343869",
"telephone_number": "940-273-5700",
"fax_number": "940-273-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "GABRIELA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-18",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1150312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.