ALLAN VALENCIA NP-C
NPI 1194310540
Nurse Practitioner - Family in Houston, TX
About Allan Valencia Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLAN VALENCIA NP-C (NPI 1194310540) is an individual family provider in Houston, Texas, licensed in Texas (F09201585) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Allan Valencia Np-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Allan Valencia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 3,111 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.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hermann - Texas Medical Center
Acute Care Hospitals · Houston, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77024
HOUSTON, TX 77024
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 Allan Valencia's NPI number?
The NPI number for Allan Valencia is 1194310540. It was assigned to this individual provider in the NPPES registry on March 8, 2021.
Where is Allan Valencia located?
Allan Valencia practices at 925 Gessner Rd Ste 540, Houston, TX 77024. The listed phone number is (713) 486-2400.
What is Allan Valencia's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Allan Valencia enrolled in Medicare?
Yes. Allan Valencia 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 organization bills Medicare for Allan Valencia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Allan Valencia reassigns Medicare benefits to Ut Physicians (Houston, 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 Allan Valencia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Allan Valencia 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 3 other insurers list Allan Valencia 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.
Is Allan Valencia affiliated with any hospitals?
According to CMS data, Allan Valencia is affiliated with Memorial Hermann - Texas Medical Center.
When was this NPI record last updated?
The NPPES record for Allan Valencia was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Allan Valencia, NP-C · NPI 1194310540
Family physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since March 8, 2021.
## Identity
- **NPI:** 1194310540 (Entity type: Individual)
- **Enumerated:** March 8, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F09201585 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 925 GESSNER RD STE 540, Houston, TX 77024-2552
- **Phone:** (713) 486-2400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ut Physicians (NPI 1033157821, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1194310540) · Data from the CMS NPPES public registry.