Individual provider Active NPI

Reagan Roach, APRN

  • Adult Health Nurse Practitioner
  • Sulphur Springs, TX
National Provider Identifier
1750106951
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1179532 Issued in TX
Practice address
107 Medical Cir
Sulphur Springs, TX 75482-2138
Phone
(903) 885-1770
NPI assigned
Nov 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1179532 TX Primary

Addresses

Primary practice location

107 Medical Cir
Sulphur Springs, TX 75482-2138

Mailing address

377 Morgan Ave
Paris, TX 75462-2540
Phone (903) 517-8201

Other practice location 1

105 Zeid Blvd
Henderson, TX 75652-6070
Phone (903) 315-5612

Other practice location 2

130 Tankersley Rd Ste 200
MT Pleasant, TX 75455-1530
Phone (903) 606-7480

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
I20250325002271 TX Practitioner - Nurse Practitioner 9032632609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

107 Medical Cir
Sulphur Springs, TX 75482-2138
Phone (903) 885-1770

Hospital & facility affiliations

  • Christus Mother Frances Hospital Sulphur Springs Hospital, Sulphur Springs, TX, CCN 450236
  • Christus Mother Frances Hospital- Winnsboro Hospital, Winnsboro, TX, CCN 451381
  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1179532TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Mar 3, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 3, 2025 Accepting new patients

Locations

105 Zeid Blvd
Henderson, TX 75652
Phone (903) 315-5612

107 Medical Cir
Sulphur Springs, TX 75482
Phone (903) 885-1770

215 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-1740

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Organizations & group practices 2

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": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1750106951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 MORGAN AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754622540",
            "telephone_number": "903-517-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MEDICAL CIR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822138",
            "telephone_number": "903-885-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Zeid Blvd",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "TX",
            "postal_code": "756526070",
            "country_code": "US",
            "telephone_number": "903-315-5612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Tankersley Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "TX",
            "postal_code": "754551530",
            "country_code": "US",
            "telephone_number": "903-606-7480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROACH",
        "first_name": "REAGAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1179532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

Verify at the official NPI Registry.