Individual provider Active NPI

Joe Adrian Pedroza, ACNP-BC

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1922438506
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP124734 Issued in TX
Practice address
9330 Poppy Dr
Dallas, TX 75218-4621
Phone
(806) 445-1191
NPI assigned
Nov 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP124734 TX Primary

Addresses

Primary practice location

9330 Poppy Dr
Dallas, TX 75218-4621

Mailing address

421 Metropolitan Dr
Plano, TX 75023-2377
Phone (806) 445-1191

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
I20150618000315 TX Practitioner - Nurse Practitioner 4486965431 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians
Lone Star Intensivists at Gulf Coast, PLLCGroup PAC ID 9537410972, 49 clinicians

Practice addresses (Care Compare)

3621 22ND St
Lubbock, TX 79410-1301
Phone (806) 791-8484

504 Medical Ctr Blvd
Conroe, TX 77304-2808
Phone (936) 539-1111

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • Plains Regional Medical Center Hospital, Clovis, NM, CCN 320022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Texas Intensivists, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Cogent Healthcare of Texas, PA CurrentSince Dec 1, 2021 Accepting new patients
Covenant Medical Group CurrentSince Dec 1, 2016 Accepting new patients
Covenant Medical Group CurrentSince Dec 1, 2016 Accepting new patients
Jefferson Intensivist Group PA CurrentSince May 19, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Sep 15, 2023 Accepting new patients
Lone Star Intensivists at Gulf Coast, PLLC CurrentSince Apr 12, 2025 Accepting new patients
Poppy Drive Inpatient Services PLLC CurrentSince Apr 7, 2015 Accepting new patients
Plano Urgent Care LLC PastSince Jul 1, 2014 Accepting new patients

Locations

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

10655 Steepletop Dr
Houston, TX 77065
Phone (281) 890-4285

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

3621 22nd St
Lubbock, TX 79410
Phone (806) 791-8484

2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 9

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 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": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1922438506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 METROPOLITAN DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750232377",
            "telephone_number": "806-445-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 POPPY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184621",
            "telephone_number": "806-445-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROZA",
        "first_name": "JOE",
        "middle_name": "ADRIAN",
        "name_prefix": "Mr.",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-19",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP124734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.