Active NPI
Debra L Sosolik, FNP
- Family Nurse Practitioner
- San Angelo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP116291
- Practice address
- 120 E Beauregard Ave
San Angelo, TX 76903-5919 - Phone
- (325) 747-2191
- NPI assigned
- Oct 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP116291 | TX | Primary |
Addresses
Primary practice location
120 E Beauregard Ave
San Angelo, TX 76903-5919
Mailing address
PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 747-1511
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The West Texas Rehabilitation Center
Practice addresses (Care Compare)
120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone (325) 747-1511
4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411
Hospital & facility affiliations
- Paradigm Homecare
- Angels Care Home Health of San Angelo
- Enhabit Home Health
- Shannon Home Health Services
- Shannon Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.63 of 100
- Quality
- 78.21
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 67.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP116291 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shannon Clinic | Current | Accepting new patients | |
| Knox County Hospital District | Past | Accepting new patients | |
| Knox County Hospital | Past | Accepting new patients | |
| Privia Medical Group West Texas, PLLC | Past | Accepting new patients |
Locations
120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511
2142 Sunset Dr
San Angelo, TX 76904
Phone (325) 245-4211
120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741
Interoperability endpoints
- dsosolik22320@shannonhealth.direct-ci.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- San Angelo, TX
- NPI 1770587149
-
- Health Service Clinic/Center
- Knox City, TX
- NPI 1447325543
-
- Rural Health Clinic/Center
- Knox City, TX
- NPI 1134186356
-
- Pathology Specialist/Technologist
- Abilene, TX
- NPI 1760482665
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Angelo, TX
- NPI 1942205125
-
- Home Health Agency
- Abilene, TX
- NPI 1942227459
-
- Home Health Agency
- San Angelo, TX
- NPI 1225031446
-
- General Acute Care Hospital
- San Angelo, TX
- NPI 1992707228
-
- Home Health Agency
- San Angelo, TX
- NPI 1518139237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1962690693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22000",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769027200",
"telephone_number": "325-747-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E BEAUREGARD AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769035919",
"telephone_number": "325-747-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSOLIK",
"first_name": "DEBRA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP116291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.