Individual provider Active NPI

Reagan Renee Richter, FNP-C

  • Family Nurse Practitioner
  • La Grange, TX
National Provider Identifier
1639840010
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1055621 Issued in TX
Practice address
2 Saint Marks PL Ste 160&170
La Grange, TX 78945-1251
Phone
(979) 242-5677
Fax
(979) 242-5680
NPI assigned
Sep 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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 1055621 TX Primary

Addresses

Primary practice location

2 Saint Marks PL Ste 160&170
La Grange, TX 78945-1251

Mailing address

134 Frenzel Cut Off
Paige, TX 78659-4467
Phone (281) 808-1670

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
I20241211000012 TX Practitioner - Nurse Practitioner 2264968494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

2 Saint Marks PL
Suite 160
La Grange, TX 78945-1253
Phone (979) 242-5677

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1055621TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Track Urgent Care - Bastrop CurrentSince Nov 3, 2024 Accepting new patients
Fast Track Urgent Care CurrentSince Nov 3, 2024 Accepting new patients
St Davids Heart & Vascular, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Banks Pediatrics PLLC PastSince Sep 1, 2021 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

1670 Highway 71 E
Ste D
Bastrop, TX 78602
Phone (512) 309-7221

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

2 Saint Marks Pl
Ste 160
La Grange, TX 78945
Phone (979) 242-5677

17910 Bulverde Rd
Ste 115
San Antonio, TX 78259
Phone (210) 906-8478

Interoperability endpoints

  • Direct secure messaging: bankspediatricspllc.reaganrrichter@138748.advancedmd-direct.com

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 3

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": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1639840010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 FRENZEL CUT OFF",
            "city": "PAIGE",
            "state": "TX",
            "postal_code": "786594467",
            "telephone_number": "281-808-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT MARKS PL STE 160&170",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451251",
            "telephone_number": "979-242-5677",
            "fax_number": "979-242-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "REAGAN",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1055621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, TX

Sources for this page

Verify at the official NPI Registry.