DEBORAH GARGANERA LEDESMA FNP-C
NPI 1114625670
Nurse Practitioner - Family in Jacksonville, TX

Active since February 22, 2023PECOS EnrolledAccepts Medicare Assignment
510 E COMMERCE ST, JACKSONVILLE, TX 75766(903) 535-9041 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2024, Apr 8, 2023, Feb 22, 2023 (3 updates tracked since 2023).

About Deborah Garganera Ledesma Fnp-c NPPES

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

DEBORAH GARGANERA LEDESMA FNP-C (NPI 1114625670) is an individual family provider in Jacksonville, Texas, licensed in Texas (1103164) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114625670
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEBORAH GARGANERA LEDESMACredential: FNP-C
Location Address510 E COMMERCE STJacksonville, TX 75766-4910
Mailing Address523 S Fannin AveTyler, TX 75702-8204 · (903) 535-9041
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 22, 2023
Last NPPES UpdateNovember 21, 20243 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1114625670 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 TX · 1103164
510 E COMMERCE ST, Jacksonville, TX 75766

Accepted 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

Deborah Garganera Ledesma Fnp-c 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 ID7012381635
PECOS Enrollment IDI20230322002746
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

2

Medicare enrollment records show Deborah Ledesma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
602 STATE HIGHWAY 110 N
Whitehouse, TX 75791
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
13172 STATE HIGHWAY 64 E
Tyler, TX 75707
  • Reassigned Medicare billing, Texas enrollment
  • 64 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75766 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.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Pediatrics)
510 E COMMERCE ST
JACKSONVILLE, TX 75766
Pediatrics
510 E COMMERCE ST
JACKSONVILLE, TX 75766
Counselor (Mental Health)
510 E COMMERCE ST
JACKSONVILLE, TX 75766
Physical Therapist
510 E COMMERCE ST
JACKSONVILLE, TX 75766
Physician Assistant
510 E COMMERCE ST
JACKSONVILLE, TX 75766
Nurse Practitioner (Family)
510 E COMMERCE ST
JACKSONVILLE, TX 75766
Nurse Practitioner (Family)
510 E COMMERCE ST
JACKSONVILLE, TX 75766
Nurse Practitioner (Family)
510 E COMMERCE ST
JACKSONVILLE, TX 75766

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 Deborah Ledesma's NPI number?

The NPI number for Deborah Ledesma is 1114625670. It was assigned to this individual provider in the NPPES registry on February 22, 2023.

Where is Deborah Ledesma located?

Deborah Ledesma practices at 510 E Commerce St, Jacksonville, TX 75766. The listed phone number is (903) 535-9041.

What is Deborah Ledesma's specialty?

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

Is Deborah Ledesma enrolled in Medicare?

Yes. Deborah Ledesma 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 Deborah Ledesma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Ledesma reassigns Medicare benefits to 2 organizations: Whitehouse Premier Health And Wellness LLC (Whitehouse, TX) and Tyler Family Circle Of Care (Tyler, 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 Deborah Ledesma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deborah Ledesma accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Deborah Ledesma 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 Deborah Ledesma was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.