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GERARDO ROBERTO MARQUEZ NP
NPI 1063933760
Nurse Practitioner in Houston, TX

Active since July 03, 2017PECOS EnrolledAccepts Medicare Assignment
9652 KATY FWY, HOUSTON, TX 77055(713) 464-6800 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2021, Jul 3, 2017 (2 updates tracked since 2017).

About Gerardo Roberto Marquez Np NPPES

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

GERARDO ROBERTO MARQUEZ NP (NPI 1063933760) is an individual nurse practitioner in Houston, Texas, licensed in Texas (AP134268) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1063933760
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameGERARDO ROBERTO MARQUEZCredential: NP
Location Address9652 KATY FWYHouston, TX 77055-6322
Mailing Address1403 Plymouth StPasadena, TX 77502-3209 · (832) 788-8139
Phone(713) 464-6800
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 3, 2017
Last NPPES UpdateApril 14, 20212 updates tracked since enumeration
NPPES CertifiedApril 14, 2021
✔ NPI 1063933760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP134268
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP134268 (TX)
9652 KATY FWY, Houston, TX 77055
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gerardo Roberto Marquez Np 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 ID3577809722
PECOS Enrollment IDI20190109002817
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

4

Medicare enrollment records show Gerardo Marquez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nluc PLLC
4.0 mi
Urgent Care
5749 SAN FELIPE ST
Houston, TX 77057
  • Reassigned Medicare billing, Texas enrollment
  • 379 clinicians in this Medicare group
NPI 1518209113 (281) 201-0657
Next Level Mv LLC
19 mi
Urgent Care
8325 BROADWAY ST STE 220
Pearland, TX 77581
  • Reassigned Medicare billing, Texas enrollment
  • 301 clinicians in this Medicare group
NPI 1013432285 (281) 201-0657
Houston Carenow Urgent Care PLLC
30 mi
Family Medicine
10422 RESEARCH FOREST DR
Magnolia, TX 77354
  • Reassigned Medicare billing, Texas enrollment
  • 101 clinicians in this Medicare group
NPI 1093251860 (832) 702-7699
Doctors Express Of The Beaumont Area PA
85 mi
Urgent Care
3195 DOWLEN RD STE 105
Beaumont, TX 77706
  • Reassigned Medicare billing, Texas enrollment
  • 351 clinicians in this Medicare group
NPI 1841525235 (409) 860-1888

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 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.

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
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77055 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 5

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

CIERRA GONZALES FNP
Nurse Practitioner (Family)
9652 KATY FWY
HOUSTON, TX 77055
Harris County (713) 464-6800
AGELESS MEN'S HEALTH,TX, LLC
Specialist
9652 KATY FWY
HOUSTON, TX 77055
Harris County (512) 892-1900
MR. KENNETH MONDRE SMITH PHYSICIAN ASSISTANT
Physician Assistant (Medical)
9652 KATY FWY
HOUSTON, TX 77055
Harris County (346) 719-6880
AGELESS MEN'S HEALTH, PLLC
Specialist
9652 KATY FWY
HOUSTON, TX 77055
Harris County (713) 464-6800
SIMONE SHERARD NP
Nurse Practitioner (Family)
9652 KATY FWY
HOUSTON, TX 77055
Harris County (713) 464-6800

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 Gerardo Marquez's NPI number?

The NPI number for Gerardo Marquez is 1063933760. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Where is Gerardo Marquez located?

Gerardo Marquez practices at 9652 Katy Fwy, Houston, TX 77055. The listed phone number is (713) 464-6800.

What is Gerardo Marquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Gerardo Marquez enrolled in Medicare?

Yes. Gerardo Marquez 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 Gerardo Marquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerardo Marquez reassigns Medicare benefits to 4 organizations: Nluc PLLC (Houston, TX), Next Level Mv LLC (Pearland, TX), Houston Carenow Urgent Care PLLC (Magnolia, TX) and Doctors Express Of The Beaumont Area PA (Beaumont, 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 Gerardo Marquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerardo Marquez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Gerardo Marquez 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 Gerardo Marquez was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.