MR. ANTONIO DENARD INGRAM FNP-BC
NPI 1144585761
Nurse Practitioner - Family in De Kalb, TX

Q: What is Antonio Ingram's NPI number?

The NPI number for Antonio Ingram is 1144585761. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Q: What is Antonio Ingram'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 Antonio Ingram was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 10, 2012PECOS Enrolled

118 WOOD ST OFC 1, DE KALB, TX 75559(903) 417-5377 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2021, Jul 6, 2020, Jul 1, 2020 and 2 more (5 updates tracked since 2018).

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About Mr. Antonio Denard Ingram Fnp-bc NPPES

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

MR. ANTONIO DENARD INGRAM FNP-BC (NPI 1144585761) is an individual family provider in De Kalb, Texas, licensed in Texas (AP136580) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Texarkana.

NPPES Registry Identity

NPI1144585761

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. ANTONIO DENARD INGRAMCredential: FNP-BC

Location Address118 WOOD ST OFC 1De Kalb, TX 75559-2112

Mailing Address118 Wood StDe Kalb, TX 75559-2112 · (903) 280-8173 · Fax (903) 927-1764

Phone(903) 417-5377

Sole ProprietorNo

Enumeration DateJuly 10, 2012

Last NPPES UpdateAugust 20, 20215 updates tracked since enumeration

NPPES CertifiedAugust 20, 2021

✔ NPI 1144585761 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 · AP136580

Also ListedRegistered NurseTaxonomy 163W00000X · License 769058 (TX)

118 WOOD ST OFC 1, De Kalb, TX 75559

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Secondary Practice Location 1

Location 11400 College Dr Ste 204Texarkana, TX 75503 · Phone (937) 911-1110 · Fax (903) 791-9353

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Antonio Denard Ingram 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 75559 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

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

BEACON INTEGRATED HEALTHCARE

Nurse Practitioner (Family)

118 WOOD ST OFC 1
DE KALB, TX 75559

Bowie County (903) 417-5377

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 Antonio Ingram's NPI number?

The NPI number for Antonio Ingram is 1144585761. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Where is Antonio Ingram located?

Antonio Ingram practices at 118 Wood St Ofc 1, De Kalb, TX 75559. The listed phone number is (903) 417-5377.

What is Antonio Ingram's specialty?

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

Is Antonio Ingram enrolled in Medicare?

Yes. Antonio Ingram is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antonio Ingram was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.