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PAOLA ELIZABETH TERAN HERNANDEZ
NPI 1265203913
Nurse Practitioner - Family in Georgetown, TX

Active since January 11, 2024PECOS EnrolledAccepts Medicare Assignment
540 WINDOM WAY, GEORGETOWN, TX 78626(972) 838-0761 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Paola Elizabeth Teran Hernandez NPPES

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

PAOLA ELIZABETH TERAN HERNANDEZ (NPI 1265203913) is an individual family provider in Georgetown, Texas, licensed in Texas (1149551) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1265203913
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAOLA ELIZABETH TERAN HERNANDEZ
Location Address540 WINDOM WAYGeorgetown, TX 78626-2391
Mailing Address540 Windom WayGeorgetown, TX 78626-2391 · (972) 838-0761
Phone(972) 838-0761
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 11, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1265203913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1149551
540 WINDOM WAY, Georgetown, TX 78626
Open in Google Maps ↗

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

Paola Elizabeth Teran Hernandez 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 ID9133567274
PECOS Enrollment IDI20240409001033
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

3

Medicare enrollment records show Paola Teran Hernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Curefast Medical Elgin PLLC
22 mi
Urgent Care
1392 W US HIGHWAY 290 UNIT 2
Elgin, TX 78621
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1821956780 (512) 284-9527
Curefast Medical Del Valle PLLC
28 mi
Urgent Care
4820 ROSS RD
Del Valle, TX 78617
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1235096314 (512) 284-9427
St. David's Carenow Urgent Care PLLC
40 mi
Family Medicine
5033 W HIGHWAY 290
Austin, TX 78735
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: St Davids Carenow Urgent Care PLLC
  • 106 clinicians in this Medicare group
NPI 1851844104 (512) 265-8980

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 4

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.
22 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78626 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.

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 Paola Teran Hernandez's NPI number?

The NPI number for Paola Teran Hernandez is 1265203913. It was assigned to this individual provider in the NPPES registry on January 11, 2024.

Where is Paola Teran Hernandez located?

Paola Teran Hernandez practices at 540 Windom Way, Georgetown, TX 78626. The listed phone number is (972) 838-0761.

What is Paola Teran Hernandez's specialty?

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

Is Paola Teran Hernandez enrolled in Medicare?

Yes. Paola Teran Hernandez 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 Paola Teran Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paola Teran Hernandez reassigns Medicare benefits to 3 organizations: Curefast Medical Elgin PLLC (Elgin, TX), Curefast Medical Del Valle PLLC (Del Valle, TX) and St. David's Carenow Urgent Care PLLC (Austin, 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 Paola Teran Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paola Teran Hernandez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Paola Teran Hernandez 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 Paola Teran Hernandez was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.