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RAFAEL LUIS FONSECA FNP
NPI 1316674880
Nurse Practitioner - Family in Plano, TX

Active since August 04, 2022PECOS Enrolled
2300 14TH ST STE 145, PLANO, TX 75074(972) 904-0812 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2022, Sep 1, 2022, Aug 17, 2022 and 1 more (4 updates tracked since 2022).

About Rafael Luis Fonseca Fnp NPPES

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

RAFAEL LUIS FONSECA FNP (NPI 1316674880) is an individual family provider in Plano, Texas, licensed in Texas (1089259) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316674880
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRAFAEL LUIS FONSECACredential: FNP
Location Address2300 14TH ST STE 145Plano, TX 75074-6445
Mailing Address1100 Gannon DrPlano, TX 75025-2921 · (972) 904-0812
Phone(972) 904-0812
Sole ProprietorNo
Enumeration DateAugust 4, 2022
Last NPPES UpdateNovember 3, 20224 updates tracked since enumeration
NPPES CertifiedNovember 3, 2022
✔ NPI 1316674880 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 · 1089259
2300 14TH ST STE 145, Plano, TX 75074
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rafael Luis Fonseca Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75074 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 3

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

LAURA SEGURA BOZA FNP-C
Nurse Practitioner (Family)
2300 14TH ST STE 145
PLANO, TX 75074
Collin County (469) 277-8858
LOVE FIELD CLINIC PLANO LLC
Nurse Practitioner
2300 14TH ST STE 145
PLANO, TX 75074
Collin County (469) 277-8858
BERNADETTE CARRIGO FNP
Nurse Practitioner (Family)
2300 14TH ST STE 145
PLANO, TX 75074
Collin County (972) 424-9232

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 Rafael Fonseca's NPI number?

The NPI number for Rafael Fonseca is 1316674880. It was assigned to this individual provider in the NPPES registry on August 4, 2022.

Where is Rafael Fonseca located?

Rafael Fonseca practices at 2300 14th St Ste 145, Plano, TX 75074. The listed phone number is (972) 904-0812.

What is Rafael Fonseca's specialty?

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

Is Rafael Fonseca enrolled in Medicare?

Yes. Rafael Fonseca is registered in the Medicare PECOS enrollment system.

What insurance does Rafael Fonseca accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Rafael Fonseca 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 Rafael Fonseca was last updated on November 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.