Petra De Leon, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Mathis, TX
NPI 1811340490 · NPPES record last updated Jun 30, 2026
Key facts
- NPI
- 1811340490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP131476 (TX)
- Practice address
- 1205 E San Patricio Ave
Mathis, TX 78368-2402 - Phone
- (361) 453-4470
- Fax
- (800) 621-5209
- NPI assigned
- Jul 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
312 E 2ND St
Alice, TX 78332-4806
Phone (361) 453-4470
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 |
|---|---|---|---|---|
| I20161216000197 | TX | Practitioner - Nurse Practitioner | 3577843176 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP131476 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucp Physicians of Central Texas, PLLC | Current |
Accepting new patients | |
| Ucp Physicians of Central Texas, PLLC | Current |
Accepting new patients | |
| Mathis Health & Wellness Clinic | Current |
Accepting new patients | |
| Donna Karen Groff PLLC | Current |
Accepting new patients |
Locations
312 E 2nd St
Alice, TX 78332
Phone (361) 201-2025
6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627
1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330
1205 E San Patricio Ave
Mathis, TX 78368
Phone (361) 453-4470
1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP131476 | TX | Yes |
Addresses
Primary practice location
1205 E San Patricio Ave
Mathis, TX 78368-2402
Mailing address
1205 E San Patricio Ave
Mathis, TX 78368-2402
Phone (361) 453-4470
Other providers in Mathis, TX
- Ramiro Benitez
- Care Pharmacy
- City of Mathis
- Community Action Corporation of South Texas
- CVS Pharmacy Inc
- Dhanvis Health Care LLC
- Donna Karen Groff PLLC
- Christine Ann Dunham
- Enryn Medcial Transports
- Maria Z Gonzalez
All providers in Mathis, 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 Jun 30, 2026. 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.