Individual provider Active NPI

Diane Roel, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Dilley, TX
National Provider Identifier
1639675374
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134830 Issued in TX
Practice address
606 W Leona St
Dilley, TX 78017-3705
Phone
(830) 965-1797
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134830 TX Primary

Addresses

Primary practice location

606 W Leona St
Dilley, TX 78017-3705

Mailing address

611 Thornton St
Cotulla, TX 78014
Phone (830) 879-3540

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200429000328 TX Practitioner - Nurse Practitioner 1850655937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frio Hospital AssociationGroup PAC ID 4981599693, 9 clinicians

Practice addresses (Care Compare)

801 W FM
Suite 117
Dilley, TX 78017-3409
Phone (830) 326-3171

Hospital & facility affiliations

  • Frio Regional Hospital Hospital, Pearsall, TX, CCN 451391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frio Hospital Association CurrentSince Apr 6, 2020 Accepting new patients
Frio Hospital Association CurrentSince Apr 6, 2020 Accepting new patients
Frio Hospital Association Past Accepting new patients
Frio Hospital Association Past Accepting new patients

Locations

801 W FM 117
Dilley, TX 78017
Phone (830) 326-3171

151 Medical Dr
Pearsall, TX 78061
Phone (830) 334-4126

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1639675374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 THORNTON ST",
            "city": "COTULLA",
            "state": "TX",
            "postal_code": "78014",
            "telephone_number": "830-879-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W LEONA ST",
            "city": "DILLEY",
            "state": "TX",
            "postal_code": "780173705",
            "telephone_number": "830-965-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEL",
        "first_name": "DIANE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dilley, TX

Sources for this page

Verify at the official NPI Registry.