MRS. BRANDI ZAVALA N.P.
NPI 1104284132
Nurse Practitioner - Family in Gainesville, TX

Active since February 04, 2016PECOS EnrolledAccepts Medicare Assignment
2024 W HIGHWAY 82, GAINESVILLE, TX 76240(940) 612-8760 Get Directions Write a Review

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2020, Nov 9, 2017, Feb 4, 2016 (3 updates tracked since 2016).

About Mrs. Brandi Zavala N.p. NPPES

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

MRS. BRANDI ZAVALA N.P. (NPI 1104284132) is an individual family provider in Gainesville, Texas, licensed in Oklahoma (116112) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Duncan Regional Hospital, Inc, and is a graduate of University Of South Alabama College Of Medicine (2015).

NPPES Registry Identity

NPI1104284132
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. BRANDI ZAVALACredential: N.P.
Location Address2024 W HIGHWAY 82Gainesville, TX 76240-2051
Mailing Address2024 W Highway 82Gainesville, TX 76240-2051
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2015
Enumeration DateFebruary 4, 2016
Last NPPES UpdateMay 28, 20203 updates tracked since enumeration
NPPES CertifiedMay 28, 2020
NPI 1104284132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OK · 116112
2024 W HIGHWAY 82, Gainesville, TX 76240

Accepted 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

Mrs. Brandi Zavala N.p. 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 ID1355640434
PECOS Enrollment IDI20241007003137
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 2

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
116 services30 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
84 services23 patients

Hospital Affiliations CMS Care Compare

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

Duncan Regional Hospital, Inc

Acute Care Hospitals · Duncan, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370023
Location2621 Whisenant DrDuncan, OK 73533 · Stephens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76240 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Controlling High Blood Pressure
65%20 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
65%199 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
88%82 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
4%69 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%141 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 2% · 65 patients
2%65 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
2024 W HIGHWAY 82
GAINESVILLE, TX 76240
Nurse Practitioner (Family)
2024 W HIGHWAY 82
GAINESVILLE, TX 76240
Family Medicine
2024 W HIGHWAY 82
GAINESVILLE, TX 76240
Pain Medicine (Pain Medicine)
2024 W HIGHWAY 82
GAINESVILLE, TX 76240
Family Medicine
2024 W HIGHWAY 82
GAINESVILLE, TX 76240
Surgery
2024 W HIGHWAY 82
GAINESVILLE, TX 76240
Family Medicine
2024 W HIGHWAY 82
GAINESVILLE, TX 76240
Nurse Practitioner (Family)
2024 W HIGHWAY 82
GAINESVILLE, TX 76240

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 Brandi Zavala's NPI number?

The NPI number for Brandi Zavala is 1104284132. It was assigned to this individual provider in the NPPES registry on February 4, 2016.

Where is Brandi Zavala located?

Brandi Zavala practices at 2024 W Highway 82, Gainesville, TX 76240. The listed phone number is (940) 612-8760.

What is Brandi Zavala's specialty?

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

Is Brandi Zavala enrolled in Medicare?

Yes. Brandi Zavala 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 Brandi Zavala accept?

Health plans from Medica, Mending Health, Molina Healthcare and Oscar Insurance Company list Brandi Zavala 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 Brandi Zavala affiliated with any hospitals?

According to CMS data, Brandi Zavala is affiliated with Duncan Regional Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Brandi Zavala was last updated on May 28, 2020. 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.