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DR. NESTOR HUGO PRADERIO M.D.
NPI 1144265562
Psychiatry & Neurology - Psychiatry in Corpus Christi, TX

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
1315 SANTA FE ST STE 201, CORPUS CHRISTI, TX 78404(361) 887-9600(361) 883-1661 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nestor Hugo Praderio M.d. NPPES

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

DR. NESTOR HUGO PRADERIO M.D. (NPI 1144265562) is an individual psychiatry provider in Corpus Christi, Texas, licensed in Texas (J7139) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1144265562
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. NESTOR HUGO PRADERIOCredential: M.D.
Location Address1315 SANTA FE ST STE 201Corpus Christi, TX 78404-2290
Mailing Address1315 Santa Fe St Ste 201Corpus Christi, TX 78404-2290 · (361) 887-9600 · Fax (361) 883-1661
Phone(361) 887-9600
Fax(361) 883-1661
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateJune 19, 2006
Last NPPES UpdateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
✔ NPI 1144265562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · J7139
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License J7139 (TX)
1315 SANTA FE ST STE 201, Corpus Christi, TX 78404
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Other Identifiers 1

Medicaid1169468-02TX

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

Dr. Nestor Hugo Praderio M.d. 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 ID3870576499
PECOS Enrollment IDI20100805000697
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 Nestor Praderio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Consulting Services
Same address
Psychiatry
1315 SANTA FE ST STE 201
Corpus Christi, TX 78404
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
NPI 1134164627 (361) 887-9600
Bay Area Psychiatry Services PC
6.1 mi
Psychiatry
6000 S STAPLES ST STE 406
Corpus Christi, TX 78413
  • Reassigned Medicare billing, Texas enrollment
  • 22 clinicians in this Medicare group
NPI 1235898701 (361) 444-5255

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 6

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.

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.
179 services96 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
165 services118 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
122 services60 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
43 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services28 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
31 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78404 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 4

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

PSYCHIATRIC CONSULTING SERVICES
Psychiatry & Neurology (Psychiatry)
1315 SANTA FE ST STE 201
CORPUS CHRISTI, TX 78404
Nueces County (361) 887-9600
LONE ENGLEDOWL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1315 SANTA FE ST STE 201
CORPUS CHRISTI, TX 78404
Nueces County (361) 887-9600
DR. RYAN CRAIG SMITH M.D.
Psychiatry & Neurology (Psychiatry)
1315 SANTA FE ST STE 201
CORPUS CHRISTI, TX 78404
Nueces County (361) 887-9600
MRS. LIVINA CHIKA AKPUNKU NP-C
Nurse Practitioner (Psychiatric/Mental Health)
1315 SANTA FE ST STE 201
CORPUS CHRISTI, TX 78404
Nueces County (361) 887-9600

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 Nestor Praderio's NPI number?

The NPI number for Nestor Praderio is 1144265562. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Nestor Praderio located?

Nestor Praderio practices at 1315 Santa Fe St Ste 201, Corpus Christi, TX 78404. The listed phone number is (361) 887-9600.

What is Nestor Praderio's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nestor Praderio enrolled in Medicare?

Yes. Nestor Praderio 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 Nestor Praderio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nestor Praderio reassigns Medicare benefits to 2 organizations: Psychiatric Consulting Services (Corpus Christi, TX) and Bay Area Psychiatry Services PC (Corpus Christi, 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 Nestor Praderio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nestor Praderio accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Nestor Praderio 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 Nestor Praderio was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.