Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. ESPERANZA MARIE BALTIERRA
NPI 1104794064
Physician Assistant in Fort Worth, TX

Q: What is Esperanza Baltierra's NPI number?

The NPI number for Esperanza Baltierra is 1104794064. It was assigned to this individual provider in the NPPES registry on October 23, 2025. The provider is also known as Hope Marie Baltierra.

Q: What is Esperanza Baltierra's specialty?

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

Active since October 23, 2025PECOS Enrolled

800 5TH AVE STE 500, FORT WORTH, TX 76104(817) 250-4280(817) 250-4281 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2026, Jul 8, 2026 (2 updates tracked since 2026).

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About Mrs. Esperanza Marie Baltierra NPPES

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

MRS. ESPERANZA MARIE BALTIERRA (NPI 1104794064) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA20342) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1104794064

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. ESPERANZA MARIE BALTIERRA

Location Address800 5TH AVE STE 500Fort Worth, TX 76104-7304

Mailing Address1301 Pennsylvania AveFort Worth, TX 76104-2122 · (817) 250-2000

Phone(817) 250-4280

Fax(817) 250-4281

Sole ProprietorNo

Enumeration DateOctober 23, 2025

Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1104794064 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 · PA20342

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.

800 5TH AVE STE 500, Fort Worth, TX 76104

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Other Names 1

Professional Name (2)Hope Marie Baltierra

Secondary Practice Location 1

Location 11301 Pennsylvania AveFort Worth, TX 76104-2122 · Phone (817) 250-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Esperanza Marie Baltierra is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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 20

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

STEPHANIE CERVANTES

Physician Assistant (Surgical)