Individual provider Active NPI

Bobbi Eugenia Deras, NP

  • Gerontology Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1962035337
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP145764 Issued in TX
Practice address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone
(915) 222-2668
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 788601 TX
Gerontology Nurse Practitioner 363LG0600X AP145764 TX Primary

Addresses

Primary practice location

200 Corporate Blvd
Lafayette, LA 70508-3870

Mailing address

4305 N Mesa St Ste B
El Paso, TX 79902-1124
Phone (915) 779-7378

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
I20210722001503 TX Practitioner - Nurse Practitioner 7416350897 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Intensivists PLLCGroup PAC ID 8921446345, 20 clinicians
New Braunfels Critical Care PLLCGroup PAC ID 7012348634, 4 clinicians

Practice addresses (Care Compare)

600 N Union Ave
New Braunfels, TX 78130-4194
Phone (830) 606-9111

9601 Demona CV
Austin, TX 78733-1681
Phone (512) 423-1732

Hospital & facility affiliations

  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
788601TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frank Mazza, MD PA CurrentSince May 29, 2025 Accepting new patients
Central Texas Intensivists, PLLC CurrentSince Mar 16, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Aug 5, 2023 Accepting new patients
New Braunfels Critical Care PLLC CurrentSince May 29, 2025 Accepting new patients
Progressive Surgical Associates PLLC PastSince May 28, 2023 Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

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

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 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": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1962035337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 N MESA ST STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021124",
            "telephone_number": "915-779-7378",
            "fax_number": "915-779-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "915-222-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERAS",
        "first_name": "BOBBI",
        "middle_name": "EUGENIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2025-08-01",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "788601",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP145764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.