Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DESTINY LEIGH IRWIN FNP-C
NPI 1174461370
Nurse Practitioner in Waco, TX

Active since March 23, 2026PECOS Enrolled
6901 MEDICAL PKWY, WACO, TX 76712(254) 751-4100 Get Directions Write a Review

NPPES record last updated: August 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2026, Aug 13, 2026, Mar 23, 2026 (3 updates tracked since 2026).

About Destiny Leigh Irwin Fnp-c NPPES

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

DESTINY LEIGH IRWIN FNP-C (NPI 1174461370) is an individual nurse practitioner in Waco, Texas, licensed in Texas (1245426) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1174461370
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDESTINY LEIGH IRWINCredential: FNP-C
Location Address6901 MEDICAL PKWYWaco, TX 76712-7910
Mailing Address6901 Medical PkwyWaco, TX 76712-7910
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 23, 2026
Last NPPES UpdateAugust 30, 20263 updates tracked since enumeration
NPPES CertifiedAugust 30, 2026
✔ NPI 1174461370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1245426
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6901 MEDICAL PKWY, Waco, TX 76712

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Destiny Leigh Irwin Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860952330
PECOS Enrollment IDI20260903002109
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 Reassignment

Medicare enrollment records show Destiny Irwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 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 76712 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 20

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

Nurse Practitioner (Family)
6901 MEDICAL PKWY
WACO, TX 76712
Physician Assistant
6901 MEDICAL PKWY
WACO, TX 76712
Physician Assistant
6901 MEDICAL PKWY
WACO, TX 76712
Dietitian, Registered
6901 MEDICAL PKWY
WACO, TX 76712
Internal Medicine
6901 MEDICAL PKWY
WACO, TX 76712
Emergency Medicine
6901 MEDICAL PKWY
WACO, TX 76712
Internal Medicine
6901 MEDICAL PKWY
WACO, TX 76712
Dietitian, Registered
6901 MEDICAL PKWY
WACO, TX 76712

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 Destiny Irwin's NPI number?

The NPI number for Destiny Irwin is 1174461370. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Destiny Irwin located?

Destiny Irwin practices at 6901 Medical Pkwy, Waco, TX 76712. The listed phone number is (254) 751-4100.

What is Destiny Irwin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Destiny Irwin enrolled in Medicare?

Yes. Destiny Irwin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Destiny Irwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Destiny Irwin reassigns Medicare benefits to Travis County Emergency Physicians PA (Austin, TX). The 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 Destiny Irwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Destiny Irwin accept?

Health plans from Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Destiny Irwin 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 Destiny Irwin was last updated on August 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.