Individual provider Active NPI

Rachel Roberge, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1801167432
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
687565 Issued in TX
Practice address
3945 US Highway 77
Corpus Christi, TX 78410-4531
Phone
(361) 767-8332
NPI assigned
Jan 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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 687565 TX Primary

Addresses

Primary practice location

3945 US Highway 77
Corpus Christi, TX 78410-4531

Mailing address

3945 US Highway 77
Corpus Christi, TX 78410-4531
Phone (361) 767-8332

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
I20120503000711 TX Practitioner - Nurse Practitioner 9638331895 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corpus Christi Urology Group PLLCGroup PAC ID 0749239655, 12 clinicians

Practice addresses (Care Compare)

601 Texan Trail
Suite 100
Corpus Christi, TX 78411-2548

601 Texan TRL
Suite 100
Corpus Christi, TX 78411-2548
Phone (361) 561-4106

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
687565TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QC Professional PLLC CurrentSince Aug 1, 2021 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Sep 8, 2021 Accepting new patients
Corpus Christi Urology Group PLLC CurrentSince Mar 1, 2023 Accepting new patients
Lone Star Emergency Associates LLC CurrentSince Dec 31, 2016 Accepting new patients
Third Coast Emergency Physicians Southwest PA CurrentSince Sep 8, 2021 Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
QC Urgent Care PLLC PastSince Feb 23, 2025 Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

6181 Saratoga Blvd
Unit 117
Corpus Christi, TX 78414
Phone (361) 444-5148

7629 S Staples St
Ste 106A
Corpus Christi, TX 78413
Phone (361) 238-0015

601 Texan Trl
Ste 100
Corpus Christi, TX 78411
Phone (361) 561-4106

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Interoperability endpoints

  • Direct secure messaging: rachelroberge@ccug.medalliesdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1801167432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 US HIGHWAY 77",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104531",
            "telephone_number": "361-767-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 US HIGHWAY 77",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104531",
            "telephone_number": "361-767-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERGE",
        "first_name": "RACHEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "687565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.