FERNANDO ADOLFO RIOS FNP
NPI 1356006787
Nurse Practitioner - Family in Palestine, TX

Active since November 01, 2021PECOS Enrolled
2900 TX-256 LOOP, PALESTINE, TX 75801(903) 731-1000 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 31, 2024, Jul 24, 2024, Nov 1, 2021 (3 updates tracked since 2021).

About Fernando Adolfo Rios Fnp NPPES

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

FERNANDO ADOLFO RIOS FNP (NPI 1356006787) is an individual family provider in Palestine, Texas, licensed in Texas (1168407) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356006787
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameFERNANDO ADOLFO RIOSCredential: FNP
Location Address2900 TX-256 LOOPPalestine, TX 75801
Mailing Address4333 Gallion CirTyler, TX 75708-7124 · (903) 780-4587
Sole ProprietorYes
Enumeration DateNovember 1, 2021
Last NPPES UpdateJuly 31, 20243 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1356006787 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 · 1168407
2900 TX-256 LOOP, Palestine, TX 75801

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fernando Adolfo Rios 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Fernando Rios reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
301 E STATE HIGHWAY 243 STE 121
Canton, TX 75103
  • Reassigned Medicare billing, Texas enrollment
  • 42 clinicians in this Medicare group
Emergency Medicine
1900 HOSPITAL BLVD
Gainesville, TX 76240
  • Reassigned Medicare billing, Texas enrollment
  • 1,193 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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75801 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

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

Nurse Anesthetist, Certified Registered
2900 TX-256 LOOP
PALESTINE, TX 75801

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 Fernando Rios's NPI number?

The NPI number for Fernando Rios is 1356006787. It was assigned to this individual provider in the NPPES registry on November 1, 2021.

Where is Fernando Rios located?

Fernando Rios practices at 2900 Tx-256 Loop, Palestine, TX 75801. The listed phone number is (903) 731-1000.

What is Fernando Rios's specialty?

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

Is Fernando Rios enrolled in Medicare?

Yes. Fernando Rios is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fernando Rios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fernando Rios reassigns Medicare benefits to 2 organizations: Ut East Texas Urgent Care Centers, PLLC (Canton, TX) and Acs Primary Care Physicians Southwest, PA (Gainesville, 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 Fernando Rios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fernando Rios accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Fernando Rios 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 Fernando Rios was last updated on July 31, 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.