NAYELI ZARATE MD
NPI 1346700523
Internal Medicine in Pueblo, CO
About Nayeli Zarate Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NAYELI ZARATE MD (NPI 1346700523) is an individual internal medicine provider in Pueblo, Colorado, licensed in Colorado (DR.0069583) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2018).
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
Nayeli Zarate 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nayeli Zarate reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loveland, CO 80538
- Reassigned Medicare billing, Colorado enrollment
- 2,596 clinicians in this Medicare group
Cedar Park, TX 78613
- Reassigned Medicare billing, Texas enrollment
- 828 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 5
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.
Baptist Medical Center
Acute Care Hospitals · San Antonio, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81003 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nayeli Zarate's NPI number?
The NPI number for Nayeli Zarate is 1346700523. It was assigned to this individual provider in the NPPES registry on March 22, 2019.
Where is Nayeli Zarate located?
Nayeli Zarate practices at 400 W 16th St, Pueblo, CO 81003. The listed phone number is (719) 584-4000.
What is Nayeli Zarate's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Nayeli Zarate enrolled in Medicare?
Yes. Nayeli Zarate 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 Nayeli Zarate's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nayeli Zarate reassigns Medicare benefits to 2 organizations: Poudre Valley Medical Group, LLC (Loveland, CO) and Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, 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 Nayeli Zarate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nayeli Zarate accept?
Health plans from Blue Cross and Blue Shield of Texas, Select Health and Sendero Health Plans, Local Nonprofit list Nayeli Zarate 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 Nayeli Zarate affiliated with any hospitals?
According to CMS data, Nayeli Zarate is affiliated with Baptist Medical Center.
When was this NPI record last updated?
The NPPES record for Nayeli Zarate was last updated on September 8, 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.
# Nayeli Zarate, MD · NPI 1346700523
Internal Medicine physician in Pueblo, Colorado. Individual provider, active in the CMS NPPES registry since March 22, 2019.
## Identity
- **NPI:** 1346700523 (Entity type: Individual)
- **Enumerated:** March 22, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** DR.0069583 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 W 16TH ST, Pueblo, CO 81003-2781
- **Phone:** (719) 584-4000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Poudre Valley Medical Group, LLC (NPI 1366763260, Loveland, CO); Usacs Integrated Acute Care Services Of Texas, PLLC (NPI 1801300322, Cedar Park, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1346700523) · Data from the CMS NPPES public registry.