SOPHIE BELLE DEAHL DE SEQUERA FNP-BC
NPI 1124749254
Nurse Practitioner - Family in San Antonio, TX

Q: What is Sophie De Sequera's NPI number?

The NPI number for Sophie De Sequera is 1124749254. It was assigned to this individual provider in the NPPES registry on September 7, 2022.

Q: What is Sophie De Sequera's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sophie De Sequera was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 07, 2022PECOS Enrolled

9647 HUEBNER RD, SAN ANTONIO, TX 78240(210) 735-5225 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sophie Belle Deahl De Sequera Fnp-bc NPPES

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

SOPHIE BELLE DEAHL DE SEQUERA FNP-BC (NPI 1124749254) is an individual family provider in San Antonio, Texas, licensed in Texas (1090460) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124749254

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSOPHIE BELLE DEAHL DE SEQUERACredential: FNP-BC

Location Address9647 HUEBNER RDSan Antonio, TX 78240-1512

Mailing Address25147 Flying ArrowSan Antonio, TX 78258-2721 · (210) 884-0681

Phone(210) 735-5225

Sole ProprietorYes

Enumeration DateSeptember 7, 2022

NPPES CertifiedSeptember 7, 2022

✔ NPI 1124749254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1090460

Also ListedRegistered NurseTaxonomy 163W00000X · License 942614 (TX)

9647 HUEBNER RD, San Antonio, TX 78240

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophie Belle Deahl De Sequera Fnp-bc 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 78240 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 5

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

FRANCES ELIZABETH LEWIS RN

Nurse Practitioner (Family)