1. Home
  2. Directory
  3. Texas
  4. Irving
  5. Nurse Practitioner
  6. NPI Profile

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

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: October 25, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Santa Sisay reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa Of Texas PLLC
Same address
Family Medicine
4545 FULLER DRIVE, SUITE 325
Irving, TX 75038
  • Reassigned Medicare billing, Texas enrollment
  • 802 clinicians in this Medicare group
NPI 1679510499 (972) 870-5511
Pediatric Emergency Medicine Group LLP
17 mi
Emergency Medicine
7601 PRESTON RD
Plano, TX 75024
  • Reassigned Medicare billing, Texas enrollment
  • 123 clinicians in this Medicare group
NPI 1629448535 (817) 451-4208
Texas Physician Resources, LLP
17 mi
Emergency Medicine
6451 BRENTWOOD STAIR RD
Fort Worth, TX 76112
  • Reassigned Medicare billing, Texas enrollment
  • 231 clinicians in this Medicare group
NPI 1639413289 (817) 451-4208
Ies Central Texas PLLC
60 mi
Emergency Medicine
101 CIRCLE DR
Hillsboro, TX 76645
  • Reassigned Medicare billing, Texas enrollment
  • 127 clinicians in this Medicare group
NPI 1003523002 (254) 580-8500
Level One Emergency Physicians LLC
62 mi
Emergency Medicine
5016 S US HIGHWAY 75
Denison, TX 75020
  • Reassigned Medicare billing, Texas enrollment
  • 67 clinicians in this Medicare group
NPI 1528790193 (903) 416-4000

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

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)
4545 FULLER DR STE 325
IRVING, TX 75038
Dallas County (972) 870-5511
CIERRA NICOLE THOMAS RN, MSN, AGNP
Nurse Practitioner
4545 FULLER DR STE 325
IRVING, TX 75038
Dallas County (972) 870-5511
DEBORAH G UNGLES NP
Nurse Practitioner (Family)
4545 FULLER DR STE 325
IRVING, TX 75038
Dallas County (972) 870-5511
MS. AMANDA STEVENSON MAXWELL LCSW
Social Worker (Clinical)
4545 FULLER DR STE 325
IRVING, TX 75038
Dallas County (972) 870-5511
DR. WILLIAM LEWIS DOBIE JR. M.D.
Radiology (Diagnostic Radiology)
4545 FULLER DR STE 325
IRVING, TX 75038
Dallas County (248) 824-6299
SAAMIA AHMED M.D.
Family Medicine (Geriatric Medicine)
4545 FULLER DR STE 325
IRVING, TX 75038
Dallas County (972) 870-5511
VPA OF TEXAS PLLC
Family Medicine
4545 FULLER DR STE 325
IRVING, TX 75038
Dallas County (972) 870-5511
MR. NELSON FON ACHU NP
Nurse Practitioner (Family)
4545 FULLER DR STE 325
IRVING, TX 75038
Dallas County (972) 870-5511

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 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.

Where is Santa Sisay located?

Santa Sisay practices at 4545 Fuller Dr Ste 325, Irving, TX 75038. The listed phone number is (972) 870-5511.

What is Santa Sisay's specialty?

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

Is Santa Sisay enrolled in Medicare?

Yes. Santa Sisay 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 Santa Sisay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Santa Sisay reassigns Medicare benefits to 5 organizations: Vpa Of Texas PLLC (Irving, TX), Pediatric Emergency Medicine Group LLP (Plano, TX), Texas Physician Resources, LLP (Fort Worth, TX), Ies Central Texas PLLC (Hillsboro, TX) and Level One Emergency Physicians LLC (Denison, TX). 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 Santa Sisay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Santa Sisay accept?

Health plans from Blue Cross and Blue Shield of Texas list Santa Sisay 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 Santa Sisay affiliated with any hospitals?

According to CMS data, Santa Sisay is affiliated with Texoma Medical Center.

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 15 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.