Active NPI
Nicerio Razon De Leon, DC, APRN, NP-C
- Family Nurse Practitioner
- College Station, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 774921
- Practice address
- 1605 Rock Prairie Rd
315
College Station, TX 77845-8358 - Phone
- (979) 694-2026
- Fax
- (979) 694-6403
- NPI assigned
- Apr 4, 2006
- Last updated
- Aug 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 774921 | TX | Primary |
| Chiropractor | 111N00000X | 6661 | TX |
Addresses
Primary practice location
1605 Rock Prairie Rd
315
College Station, TX 77845-8358
Mailing address
1605 Rock Prairie Rd
315
College Station, TX 77845-8358
Phone (979) 694-2026
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Rayford Rd
Suite 300
Spring, TX 77386-1557
Phone (281) 367-7275
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6661 | TX | MD | Chiropractor |
| 774921 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cashion and de Leon | Family | Current | Accepting new patients |
| BCS Chiropractic | Chiropractor | Current | Accepting new patients |
| Justdch | Chiropractor | Past | Accepting new patients |
| College Station Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
Locations
1100 Rayford Rd
Ste 300
Spring, TX 77386
Phone (281) 367-7275
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- College Station, TX
- NPI 1124467907
-
- Chiropractor
- College Station, TX
- NPI 1568674091
-
- Chiropractor
- College Station, TX
- NPI 1922445337
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bryan, TX
- NPI 1942294939
-
dba CHI St. Joseph Health College Station Hospital
- General Acute Care Hospital
- College Station, TX
- NPI 1053963009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1881656031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 ROCK PRAIRIE RD",
"address_2": "315",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778458358",
"telephone_number": "979-694-2026",
"fax_number": "979-694-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 ROCK PRAIRIE RD",
"address_2": "315",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778458358",
"telephone_number": "979-694-2026",
"fax_number": "979-694-6403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LEON",
"first_name": "NICERIO",
"middle_name": "RAZON",
"name_prefix": "Dr.",
"credential": "DC, APRN, NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "774921",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "6661",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.