Individual provider Active NPI

Ignacio Mark Ramirez, MSN FNP-C

  • Family Nurse Practitioner
  • Port Neches, TX
National Provider Identifier
1962536086
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132417 Issued in TX
Practice address
2645 Nall St
Port Neches, TX 77651-4707
Phone
(409) 210-3336
Fax
(409) 527-3969
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 674149 TX
Family Nurse Practitioner 363LF0000X AP132417 TX Primary

Addresses

Primary practice location

2645 Nall St
Port Neches, TX 77651-4707

Mailing address

2645 Nall St
Port Neches, TX 77651-4707
Phone (409) 210-3336

Other practice location 1

2927 Nall St
Port Neches, TX 77651-5603
Phone (409) 210-3336

Other identifiers 1

IdentifierTypeStateIssuer
364639001MedicaidTX

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
I20161115001317 TX Practitioner - Nurse Practitioner 5193004182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
K Paul Gerstenberg, D O, P aGroup PAC ID 1254314511, 5 clinicians

Practice addresses (Care Compare)

2927 Nall St
Port Neches, TX 77651-5603
Phone (409) 210-3336

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
674149TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
K Paul Gerstenberg, D O, P a CurrentSince Dec 1, 2024 Accepting new patients

Locations

2645 Nall St
Port Neches, TX 77651
Phone (409) 210-3336

2927 Nall St
Port Neches, TX 77651
Phone (409) 210-3336

Organizations & group practices 1

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 1

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1962536086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776514707",
            "telephone_number": "409-210-3336",
            "fax_number": "409-527-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776514707",
            "telephone_number": "409-210-3336",
            "fax_number": "409-527-3969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2927 Nall St",
            "address_purpose": "LOCATION",
            "city": "Port Neches",
            "state": "TX",
            "postal_code": "776515603",
            "country_code": "US",
            "telephone_number": "409-210-3336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "IGNACIO",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "MSN FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "674149",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364639001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Neches, TX

Sources for this page

Verify at the official NPI Registry.