LLOYD EHIGIE ESENE PMHNP-BC
NPI 1013542158
Nurse Practitioner - Psychiatric/Mental Health in Austin, TX

Active since March 09, 2020PECOS EnrolledAccepts Medicare Assignment
5900 BALCONES DR # 8229, AUSTIN, TX 78731(469) 407-1172(682) 222-7024 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 6, 2024, Jul 10, 2020, Mar 9, 2020 (3 updates tracked since 2020).

About Lloyd Ehigie Esene Pmhnp-bc NPPES

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

LLOYD EHIGIE ESENE PMHNP-BC (NPI 1013542158) is an individual psychiatric/mental health provider in Austin, Texas, licensed in Texas (AP145774) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Amarillo, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013542158
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameLLOYD EHIGIE ESENECredential: PMHNP-BC
Location Address5900 BALCONES DR # 8229Austin, TX 78731-4257
Mailing Address2012 Hickory Hill DrMansfield, TX 76063-2069 · (469) 407-1172 · Fax (682) 222-7024
Fax(682) 222-7024
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 9, 2020
Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1013542158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in TX · AP145774✔ Licensed in TX · 800894
5900 BALCONES DR # 8229, Austin, TX 78731

Secondary Practice Location 1

Location 11501 S Coulter StAmarillo, TX 79106-1770 · Phone (214) 622-8556

Other Identifiers 1

Other1B1722TX · Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lloyd Ehigie Esene Pmhnp-bc 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 ID7911337910
PECOS Enrollment IDI20241024004501, I20241206003345, I20250107003099, I20250331000283
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 Reassignments

3

Medicare enrollment records show Lloyd Esene reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
5900 BALCONES DR # 8229
Austin, TX 78731
  • Reassigned Medicare billing, Colorado, District of Columbia, Nebraska and Virginia enrollments
Psychiatry
1627 QUARRIER ST
Charleston, WV 25311
  • Reassigned Medicare billing, West Virginia enrollment
  • 28 clinicians in this Medicare group
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, Arizona enrollment
  • 18 clinicians in this Medicare group

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 78731 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
5900 BALCONES DR # 8229
AUSTIN, TX 78731

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 Lloyd Esene's NPI number?

The NPI number for Lloyd Esene is 1013542158. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Where is Lloyd Esene located?

Lloyd Esene practices at 5900 Balcones Dr # 8229, Austin, TX 78731. The listed phone number is (469) 407-1172.

What is Lloyd Esene's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lloyd Esene enrolled in Medicare?

Yes. Lloyd Esene 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.

Which organizations bill Medicare for Lloyd Esene's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lloyd Esene reassigns Medicare benefits to 3 organizations: Texas Mind Behavior And Psychiatric Clinic LLC (Austin, TX), Forefront Telecare Medical Services PC (Charleston, WV) and Ehab Yacoub MD Inc. (Gardena, CA). Each 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 Lloyd Esene's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lloyd Esene accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Texas, Cigna HealthCare of Arizona, Inc, Cigna Healthcare and Harbor Health and 2 other insurers list Lloyd Esene 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 Lloyd Esene was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.