JOANNE E PRITCHARD MD
NPI 1215427687
Family Medicine in Gatesville, TX

Q: What is Joanne Pritchard's NPI number?

The NPI number for Joanne Pritchard is 1215427687. It was assigned to this individual provider in the NPPES registry on May 11, 2018. The provider is also known as Joanne E Aresty.

Q: What is Joanne Pritchard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Joanne Pritchard was last updated on August 31, 2022. 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 May 11, 2018PECOS EnrolledAccepts Medicare Assignment

319 HIGHWAY 36 BYP S, GATESVILLE, TX 76528(254) 248-6500 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2022, Jul 28, 2020, May 11, 2018 (3 updates tracked since 2018).

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About Joanne E Pritchard Md NPPES

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

JOANNE E PRITCHARD MD (NPI 1215427687) is an individual family medicine provider in Gatesville, Texas, licensed in Texas (S3445) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2018).

NPPES Registry Identity

NPI1215427687

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJOANNE E PRITCHARDCredential: MD

Location Address319 HIGHWAY 36 BYP SGatesville, TX 76528-2741

Mailing AddressPo Box 844658Dallas, TX 75284-4658

Phone(254) 248-6500

Sole ProprietorNo

Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2018

Enumeration DateMay 11, 2018

Last NPPES UpdateAugust 31, 20223 updates tracked since enumeration

NPPES CertifiedAugust 31, 2022

✔ NPI 1215427687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · S3445✔ Licensed in TX · BP10063988

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

319 HIGHWAY 36 BYP S, Gatesville, TX 76528

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Other Names 1

Former Name (1)Joanne E Aresty

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

Joanne E Pritchard Md 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 ID8820490089

PECOS Enrollment IDI20210709001941

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 Joanne Pritchard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heart Of Texas Community Health Center Inc

33 mi

Federally Qualified Health Center (FQHC)

6500 IMPERIAL DR., STE 200
Waco, TX 76712

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

NPI 1386427334 (253) 313-6600

Scott & White Clinic

34 mi

Internal Medicine

2401 S 31ST ST
Temple, TX 76508

Reassigned Medicare billing, Texas enrollment
2,795 clinicians in this Medicare group

NPI 1093779704 (254) 724-2111

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 3

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.

117 services78 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

47 services47 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

43 services30 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450054

Location2401 S 31st StTemple, TX 76508 · Bell County

Emergency services Birthing friendly

Baylor Scott & White Medical Center Hillcrest

Acute Care Hospitals · Waco, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450101

Location100 Hillcrest Medical BlvdWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Coryell Memorial Hospital

Critical Access Hospitals · Gatesville, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451379

Location1507 W Main StreetGatesville, TX 76528 · Coryell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76528 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$6.06 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ABHISHEK RUPARELIA DDS

Dentist

319 HIGHWAY 36 BYP S, SUITE #C
GATESVILLE, TX 76528

Coryell County (254) 404-2029

MRS. RACHEL J HOPSON FNP

Nurse Practitioner (Family)

319 HIGHWAY 36 BYP S
GATESVILLE, TX 76528

Coryell County (254) 248-6500

JACINTO A OBREGON MD

Family Medicine

319 HIGHWAY 36 BYP S
GATESVILLE, TX 76528

Coryell County (254) 248-6500

AVANI DENTISTRY II PC

Dentist (General Practice)

319 HIGHWAY 36 BYP S, UNIT # 3
GATESVILLE, TX 76528

Coryell County (509) 939-9600

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 Joanne Pritchard's NPI number?

The NPI number for Joanne Pritchard is 1215427687. It was assigned to this individual provider in the NPPES registry on May 11, 2018. The provider is also known as Joanne E Aresty.

Where is Joanne Pritchard located?

Joanne Pritchard practices at 319 Highway 36 Byp S, Gatesville, TX 76528. The listed phone number is (254) 248-6500.

What is Joanne Pritchard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joanne Pritchard enrolled in Medicare?

Yes. Joanne Pritchard 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 Joanne Pritchard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joanne Pritchard reassigns Medicare benefits to 2 organizations: Heart Of Texas Community Health Center Inc (Waco, TX) and Scott & White Clinic (Temple, 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 Joanne Pritchard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joanne Pritchard 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 2 other insurers list Joanne Pritchard 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 Joanne Pritchard affiliated with any hospitals?

According to CMS data, Joanne Pritchard is affiliated with Baylor Scott & White Medical Center - Temple, Baylor Scott & White Medical Center Hillcrest and Coryell Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Joanne Pritchard was last updated on August 31, 2022. 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.