PETRA JOY CONSTABLE MD
NPI 1366024606
Family Medicine in Waco, TX

Q: What is Petra Constable's NPI number?

The NPI number for Petra Constable is 1366024606. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Q: What is Petra Constable'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 Petra Constable was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 26, 2021PECOS EnrolledAccepts Medicare Assignment

1600 PROVIDENCE DR, WACO, TX 76707(254) 313-4200(254) 313-4549 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Petra Joy Constable Md NPPES

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

PETRA JOY CONSTABLE MD (NPI 1366024606) is an individual family medicine provider in Waco, Texas, licensed in Texas (BP10074684) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366024606

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NamePETRA JOY CONSTABLECredential: MD

Location Address1600 PROVIDENCE DRWaco, TX 76707-2261

Mailing Address1600 Providence DrWaco, TX 76707-2261 · (254) 313-4200 · Fax (254) 313-4549

Phone(254) 313-4200

Fax(254) 313-4549

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 26, 2021

NPPES CertifiedApril 26, 2021

✔ NPI 1366024606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · BP10074684

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.

1600 PROVIDENCE DR, Waco, TX 76707

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Petra Joy Constable 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 ID3072053974

PECOS Enrollment IDI20240905004888

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.

Hospital Affiliations CMS Care Compare

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

Ascension Providence

Acute Care Hospitals · Waco, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450042

Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76707 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 20

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

ALLISON L HULME MD

Family Medicine