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THEDALISA ACKEP
NPI 1003748104
Optometrist in Edinburg, TX

Active since June 02, 2026PECOS Enrolled
4143 CROSSPOINT BLVD, EDINBURG, TX 78539(956) 777-7200 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2026, Jun 2, 2026 (2 updates tracked since 2026).

About Thedalisa Ackep NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEDALISA ACKEP (NPI 1003748104) is an individual optometrist in Edinburg, Texas, licensed in Texas (11734TG) and active in the NPI registry since June 2026. The provider is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1003748104
Entity TypeIndividual
Primary Taxonomy152W00000X
Provider Legal NameTHEDALISA ACKEP
Location Address4143 CROSSPOINT BLVDEdinburg, TX 78539-1803
Mailing Address14220 Mountain Ridge LnMcallen, TX 78504-0869
Phone(956) 777-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 2, 2026
Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1003748104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 11734TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4143 CROSSPOINT BLVD, Edinburg, TX 78539
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thedalisa Ackep is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022574888
PECOS Enrollment IDI20260731001067
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Thedalisa Ackep reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thurmond Eye Associates, PLLC
16 mi
Specialist
1519 E 6TH ST
Weslaco, TX 78596
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group
NPI 1629023460 (956) 968-3171

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thedalisa Ackep's NPI number?

The NPI number for Thedalisa Ackep is 1003748104. It was assigned to this individual provider in the NPPES registry on June 2, 2026.

Where is Thedalisa Ackep located?

Thedalisa Ackep practices at 4143 Crosspoint Blvd, Edinburg, TX 78539. The listed phone number is (956) 777-7200.

What is Thedalisa Ackep's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Thedalisa Ackep enrolled in Medicare?

Yes. Thedalisa Ackep is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thedalisa Ackep's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thedalisa Ackep reassigns Medicare benefits to Thurmond Eye Associates, PLLC (Weslaco, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thedalisa Ackep's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thedalisa Ackep accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Thedalisa Ackep as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thedalisa Ackep was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.