SANTA BADEG SISAY
NPI 1033857073
Nurse Practitioner - Family in Irving, TX

Q: What is Santa Sisay's NPI number?

The NPI number for Santa Sisay is 1033857073. It was assigned to this individual provider in the NPPES registry on May 20, 2022.

Q: What is Santa Sisay's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Santa Sisay was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 20, 2022PECOS EnrolledAccepts Medicare Assignment

4545 FULLER DR STE 325, IRVING, TX 75038(972) 870-5511(972) 870-5512 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2024, May 20, 2022 (2 updates tracked since 2022).

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About Santa Badeg Sisay NPPES

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

SANTA BADEG SISAY (NPI 1033857073) is an individual family provider in Irving, Texas, licensed in Texas (2021160672) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and maintains a secondary practice location in Pflugerville.

NPPES Registry Identity

NPI1033857073

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSANTA BADEG SISAY

Location Address4545 FULLER DR STE 325Irving, TX 75038-6530

Mailing Address1605 E Wells Branch PkwyPflugerville, TX 78660-3993 · (571) 235-9932

Phone(972) 870-5511

Fax(972) 870-5512

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 20, 2022

Last NPPES UpdateJuly 18, 20252 updates tracked since enumeration

NPPES CertifiedJuly 18, 2025

✔ NPI 1033857073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 2021160672

Also ListedNurse PractitionerTaxonomy 363L00000X · License 1088909 (TX)

4545 FULLER DR STE 325, Irving, TX 75038

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Secondary Practice Location 1

Location 11605 E Wells Branch PkwyPflugerville, TX 78660-3993 · Phone (571) 235-9932

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Santa Badeg Sisay 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 ID2668826223

PECOS Enrollment IDI20230929003060

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

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

Texoma Medical Center

Acute Care Hospitals · Denison, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450324

Location5016 S Us Highway 75Denison, TX 75020 · Grayson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75038 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 20

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

ADAM C BROCK FNP

Nurse Practitioner (Family)