Individual provider Active NPI

Nicerio Razon De Leon, DC, APRN, NP-C

  • Family Nurse Practitioner
  • College Station, TX
National Provider Identifier
1881656031
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
774921 Issued in TX
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000355 TX Practitioner - Nurse Practitioner 3971649203 Reassigns benefits to 1 organization

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
Cashion and de LeonGroup PAC ID 1557538477, 2 clinicians

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

LicenseStateTypeSpecialty
6661TXMDChiropractor
774921TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cashion and de Leon Family CurrentSince Sep 12, 2011 Accepting new patients
BCS Chiropractic Chiropractor Current Accepting new patients
Justdch Chiropractor PastSince Apr 1, 2009 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.