Peggy Lee Avendano, FNP
Individual provider Active NPI Family Nurse Practitioner · Wharton, TX
NPI 1629660923 · NPPES record last updated Feb 8, 2021
Key facts
- NPI
- 1629660923
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1029521 (TX)
- Practice address
- 911 E Boling Hwy
Wharton, TX 77488-3252 - Phone
- (979) 545-5510
- NPI assigned
- Feb 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Collaborative Geriatrics Inc
Practice addresses (Care Compare)
24285 Katy Fwy
Suite 300
Katy, TX 77494-1327
Phone (346) 387-7171
Hospital & facility affiliations
- Matagorda Regional Medical Center
- El Campo Memorial Hospital
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 |
|---|---|---|---|---|
| I20210211000628 | TX | Practitioner - Nurse Practitioner | 5395150056 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collaborative Geriatrics Inc | Current |
Accepting new patients | |
| West Wharton County Hospital District | Past |
Accepting new patients |
Locations
24285 Katy Fwy
Ste 300
Katy, TX 77494
Phone (346) 387-7171
1405 Valhalla Dr
Wharton, TX 77488
Phone (713) 723-9068
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1029521 | TX | Yes |
Addresses
Primary practice location
911 E Boling Hwy
Wharton, TX 77488-3252
Mailing address
305 Sandy Corner Rd
El Campo, TX 77437-9535
Phone (979) 543-5510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06856182 | Other | TX | DRIVER LICENSE |
Other providers in Wharton, TX
- Nonyerem Anunne
- Laura Aronson
- Austin Assisting LLC
- Brittany Denise Autery
- Alice Jean Autrey
- Olubukola Omobolaji Ayeni
- Cheryl Lynn Baines
- Amber Leigh Barbee
- Clint Barbee
- Kristi Barger
All providers in Wharton, TX · Family 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 Feb 8, 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.