MRS. RYAN KORTNI ARREGUIN RN, CNM
NPI 1164934964
Advanced Practice Midwife in Nacogdoches, TX

Q: What is Ryan Arreguin's NPI number?

The NPI number for Ryan Arreguin is 1164934964. It was assigned to this individual provider in the NPPES registry on November 2, 2017.

Q: What is Ryan Arreguin's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Arreguin was last updated on May 23, 2023. 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 November 02, 2017PECOS Enrolled

1108 SOUTH ST, NACOGDOCHES, TX 75964(936) 560-3097(936) 462-8495 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2023, Mar 17, 2018, Nov 2, 2017 (3 updates tracked since 2017).

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About Mrs. Ryan Kortni Arreguin Rn, Cnm NPPES

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

MRS. RYAN KORTNI ARREGUIN RN, CNM (NPI 1164934964) is an individual advanced practice midwife in Nacogdoches, Texas, licensed in Texas (AP135668) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164934964

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMRS. RYAN KORTNI ARREGUINCredential: RN, CNM

Location Address1108 SOUTH STNacogdoches, TX 75964-5986

Mailing Address1204 N Mound StNacogdoches, TX 75961-4027 · (936) 568-8425

Phone(936) 560-3097

Fax(936) 462-8495

Sole ProprietorNo

Enumeration DateNovember 2, 2017

Last NPPES UpdateMay 23, 20233 updates tracked since enumeration

NPPES CertifiedMay 23, 2023

✔ NPI 1164934964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in TX · AP135668

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

1108 SOUTH ST, Nacogdoches, TX 75964

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ryan Kortni Arreguin Rn, Cnm 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.

Medicare Billing Reassignments

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

East Texas Community Health Services, Inc.

1.1 mi

Federally Qualified Health Center (FQHC)

1309 S UNIVERSITY DR
Nacogdoches, TX 75961

Reassigned Medicare billing, Texas enrollment
23 clinicians in this Medicare group

NPI 1255367090 (936) 560-5668

Nacogdoches County Hospital District

1.5 mi

Obstetrics & Gynecology

1204 N MOUND ST
Nacogdoches, TX 75961

Reassigned Medicare billing, Texas enrollment
22 clinicians in this Medicare group

NPI 1053711804 (936) 568-8523

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 75964 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

$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 10

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

DEBRA E MCCARTHY CNM

Advanced Practice Midwife