RAYNELL RODGERS ODOM NP
NPI 1013071448
Nurse Practitioner - Family in Floresville, TX

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
90 EAGLE CREEK RANCH BLVD, FLORESVILLE, TX 78114(830) 391-0877 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2020, Feb 8, 2017 (2 updates tracked since 2017).

About Raynell Rodgers Odom Np NPPES

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

RAYNELL RODGERS ODOM NP (NPI 1013071448) is an individual family provider in Floresville, Texas, licensed in Texas (502431) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Connally Memorial Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1013071448
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRAYNELL RODGERS ODOMCredential: NP
Location Address90 EAGLE CREEK RANCH BLVDFloresville, TX 78114-9275
Mailing Address282 Broken ArrowFloresville, TX 78114-6012 · (830) 391-4050
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 20, 2006
Last NPPES UpdateMarch 11, 20202 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
NPI 1013071448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 502431
90 EAGLE CREEK RANCH BLVD, Floresville, TX 78114

Other Identifiers 1

Other12252309TX · Caqh

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Raynell Rodgers Odom Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345490207
PECOS Enrollment IDI20121030000588
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
330 services120 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Connally Memorial Medical Center

Acute Care Hospitals · Floresville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450108
Location499 10th StreetFloresville, TX 78114 · Wilson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78114 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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 Raynell Odom's NPI number?

The NPI number for Raynell Odom is 1013071448. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Raynell Odom located?

Raynell Odom practices at 90 Eagle Creek Ranch Blvd, Floresville, TX 78114. The listed phone number is (830) 391-0877.

What is Raynell Odom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Raynell Odom enrolled in Medicare?

Yes. Raynell Odom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Raynell Odom accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Raynell Odom 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.

Is Raynell Odom affiliated with any hospitals?

According to CMS data, Raynell Odom is affiliated with Connally Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Raynell Odom was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.