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ALICIA VALDIVIEZO
NPI 1043662034
Physician Assistant in Garland, TX

Active since July 01, 2016PECOS EnrolledAccepts Medicare Assignment
2046 FOREST LN STE 130, GARLAND, TX 75042(975) 494-4494(972) 494-4450 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Nov 5, 2018, Sep 19, 2017 and 1 more (4 updates tracked since 2016).

About Alicia Valdiviezo NPPES

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

ALICIA VALDIVIEZO (NPI 1043662034) is an individual physician assistant in Garland, Texas, licensed in Texas (PA11137) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1043662034
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALICIA VALDIVIEZO
Location Address2046 FOREST LN STE 130Garland, TX 75042
Mailing Address2046 Forest Ln Ste 130Garland, TX 75042-7996 · (975) 494-4494 · Fax (972) 494-4450
Phone(975) 494-4494
Fax(972) 494-4450
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 1, 2016
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1043662034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA11137
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2046 FOREST LN STE 130, Garland, TX 75042
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Secondary Practice Location 1

Location 11511 Bandera RdSan Antonio, TX 78228-4006 · Phone (210) 433-2334 ext. 26 · Fax (210) 433-9171

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Alicia Valdiviezo 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 ID7517231814
PECOS Enrollment IDI20171018001096
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.
114 services95 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
45 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75042 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
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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 3

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

JINAL PATEL MD
Family Medicine
2046 FOREST LN STE 130
GARLAND, TX 75042
Dallas County (972) 494-4494
ERIKA BRITO GOODSON M.D.
Family Medicine
2046 FOREST LN STE 130
GARLAND, TX 75042
Dallas County (972) 494-4494
JANEL HERNANDEZ APRN-CNP
Nurse Practitioner (Family)
2046 FOREST LN STE 130
GARLAND, TX 75042
Dallas County (972) 494-4494

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 Alicia Valdiviezo's NPI number?

The NPI number for Alicia Valdiviezo is 1043662034. It was assigned to this individual provider in the NPPES registry on July 1, 2016.

Where is Alicia Valdiviezo located?

Alicia Valdiviezo practices at 2046 Forest Ln Ste 130, Garland, TX 75042. The listed phone number is (975) 494-4494.

What is Alicia Valdiviezo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alicia Valdiviezo enrolled in Medicare?

Yes. Alicia Valdiviezo 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 Alicia Valdiviezo 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 7 other insurers list Alicia Valdiviezo 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 Alicia Valdiviezo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.