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PECOS COUNTY MEMORIAL HOSPITAL
NPI 1033486915
Anesthesiology in Fort Stockton, TX

Active since November 21, 2011CLIA 45D0660803 · Accreditation
387 W IH 10, FORT STOCKTON, TX 79735(432) 336-2400 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 8, 2019, Jun 18, 2018 (2 updates tracked since 2018).

About Pecos County Memorial Hospital NPPES

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

PECOS COUNTY MEMORIAL HOSPITAL (NPI 1033486915) is a healthcare organization registered as an anesthesiology in Fort Stockton, Texas and active in the NPI registry since November 2011. The organization holds an CLIA Accreditation certificate valid through February 8, 2027 and lists Betsy Briscoe, Director, as its authorized official.

NPPES Registry Identity

NPI1033486915
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NamePECOS COUNTY MEMORIAL HOSPITAL
Location Address387 W IH 10Fort Stockton, TX 79735
Mailing Address387 W Ih 10Fort Stockton, TX 79735-2700 · (432) 336-2004 · Fax (844) 315-6444
Phone(432) 336-2400
Organization SubpartNo
Authorized OfficialBetsy BriscoeDirector · (432) 336-4200
Enumeration DateNovember 21, 2011
Last NPPES UpdateNovember 8, 20192 updates tracked since enumeration
✔ NPI 1033486915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in TX · 000356
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
387 W IH 10, Fort Stockton, TX 79735
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pecos County Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20041122000269Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to Pecos County Memorial Hospital, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Certified Registered Nurse Anesthetist (CRNA)8
Family Practice8
Nurse Practitioner5
General Surgery1

Nearest to this location (20)

See all 22
Cecil George, MD
Family Practice
NPI 1467427435
387 W IH 10
Fort Stockton, TX 79735
(432) 336-2058
✔ PECOS✔ Accepts MedicareSame address
Auden Velasquez, M.D.
Family Practice
NPI 1740430230
387 W IH 10
Fort Stockton, TX 79735
(432) 336-0700
✔ PECOS✔ Accepts MedicareSame address
Antonio Acosta, DNP, APRN, CRNA, NSP
Certified Registered Nurse Anesthetist (CRNA)
NPI 1508848839
387 W INTERSTATE 10
Fort Stockton, TX 79735
(432) 336-2004
Same address
Daniel Howell, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881934180
387 W INTERSTATE 10
Fort Stockton, TX 79735
(214) 449-0110
✔ Accepts MedicareSame address
Genaro Marquez, DNP, CRNA, NSPM-C
Certified Registered Nurse Anesthetist (CRNA)
NPI 1689952582
387 W INTERSTATE 10
Fort Stockton, TX 79735
(214) 449-0110
✔ Accepts MedicareSame address
Rachelle Ramos Young, MD
Family Practice
NPI 1003255399
387 W IH 10
Fort Stockton, TX 79735
(432) 336-2004
✔ PECOS✔ Accepts MedicareSame address
Cristian Medina, MD
Family Practice
NPI 1245867092
387 W IH 10
Fort Stockton, TX 79735
(432) 336-2058
✔ PECOS✔ Accepts Medicare1.0 mi
Kathleen Sarabia, FNP
Nurse Practitioner
NPI 1801631437
387 W IH 10
Fort Stockton, TX 79735
(432) 336-2291
✔ PECOS✔ Accepts Medicare1.0 mi
Lexi Velasquez, FNP-BC
Nurse Practitioner
NPI 1184498867
387 W IH 10
Fort Stockton, TX 79735
(432) 336-2004
✔ PECOS1.0 mi
Rahul Boinpally, MD
Family Practice
NPI 1891920997
700 N MAIN ST
Fort Stockton, TX 79735
(432) 336-8110
✔ PECOS✔ Accepts Medicare1.0 mi
Laura Gesick, NP
Nurse Practitioner
NPI 1295164929
210 S. SUMMER ST.
Marfa, TX 79843
(432) 729-1812
✔ PECOS✔ Accepts Medicare79 mi
Michael Parker, C.R.N.A.
Certified Registered Nurse Anesthetist (CRNA)
NPI 1417177825
720 HOSPITAL DR
Andrews, TX 79714
(432) 523-2200
✔ Accepts Medicare101 mi
Suhail Daye, M.D.
General Surgery
NPI 1639251481
700 HOSPITAL DR
Andrews, TX 79714
(432) 523-6624
✔ PECOS✔ Accepts Medicare101 mi
Kasia Mendoza, FNP
Nurse Practitioner
NPI 1689186413
35 E 31ST ST
San Angelo, TX 76903
(325) 658-5339
✔ PECOS✔ Accepts Medicare149 mi
Jodi Zuber, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1437515145
3601 4TH ST SUITE 1B350K
Lubbock, TX 79430
(806) 743-2981
✔ Accepts Medicare194 mi
Samuel Itie, FNP-C
Nurse Practitioner
NPI 1952794687
712 W HOBBS ST
Roswell, NM 88203
(575) 623-5263
✔ PECOS✔ Accepts Medicare196 mi
Heather Griffith, MD
Family Practice
NPI 1902284417
1721 N LEE TREVINO DR
El Paso, TX 79936
(915) 590-9424
✔ PECOS✔ Accepts Medicare212 mi
Linda White, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033298666
751 LUCKENBACH CAIN-CITY RD.
Fredericksburg, TX 78624
(956) 245-8603
✔ Accepts Medicare248 mi
Pamela Gougler, M.D.
Family Practice
NPI 1053757104
312 VENTURE BLVD S
Lago Vista, TX 78645
(512) 466-0472
✔ PECOS✔ Accepts Medicare293 mi
Harry Shen
Family Practice
NPI 1639533466
220 N RIDGEWAY DR
Cleburne, TX 76033
(817) 556-4800
✔ PECOS✔ Accepts Medicare337 mi
See all 22 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D0660803

Pecos County Memorial Hospital District · Fort Stockton, TX
Active · expires Feb 8, 2027
CLIA Number45D0660803
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Rachelle Young
Laboratory Phone(432) 336-4242
Laboratory LocationPecos County Memorial Hospital District387 W Ih 10, Fort Stockton, TX 79735
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Pecos County Memorial Hospital's NPI number?

The NPI number for Pecos County Memorial Hospital is 1033486915. It was assigned to this organization in the NPPES registry on November 21, 2011.

Where is Pecos County Memorial Hospital located?

Pecos County Memorial Hospital is located at 387 W Ih 10, Fort Stockton, TX 79735. The listed phone number is (432) 336-2400.

What is Pecos County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Pecos County Memorial Hospital enrolled in Medicare?

Yes. Pecos County Memorial Hospital is registered in the Medicare PECOS enrollment system.

When is Pecos County Memorial Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pecos County Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 4 Medicare specialties reassign their Medicare billing to Pecos County Memorial Hospital. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (8), Family Practice (8) and Nurse Practitioner (5). Of these, 6 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pecos County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D0660803) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pecos County Memorial Hospital accept?

Health plans from Blue Cross and Blue Shield of Texas list Pecos County Memorial Hospital 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 Pecos County Memorial Hospital was last updated on November 8, 2019. 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.