DAGMAR MONIQUE DECLET
NPI 1417532201
Nurse Practitioner - Acute Care in Houston, TX

Q: What is Dagmar Monique Declet's NPI number?

The NPI number for Dagmar Monique Declet is 1417532201. It was assigned to this individual provider in the NPPES registry on March 12, 2021.

Q: What is Dagmar Monique Declet's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since March 12, 2021PECOS EnrolledAccepts Medicare Assignment

6400 FANNIN ST STE 2350, HOUSTON, TX 77030(713) 486-6740 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2021, Mar 12, 2021 (2 updates tracked since 2021).

On this page

About Dagmar Monique Declet NPPES

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

DAGMAR MONIQUE DECLET (NPI 1417532201) is an individual acute care provider in Houston, Texas, licensed in Texas (1010474) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417532201

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameDAGMAR MONIQUE DECLET

Location Address6400 FANNIN ST STE 2350Houston, TX 77030-1554

Mailing Address6400 Fannin St Ste 2350Houston, TX 77030-1554 · (713) 486-6740

Phone(713) 486-6740

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 12, 2021

Last NPPES UpdateApril 22, 20212 updates tracked since enumeration

NPPES CertifiedApril 22, 2021

✔ NPI 1417532201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 1010474

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 1010474 (TX)

6400 FANNIN ST STE 2350, Houston, TX 77030

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dagmar Monique Declet 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 ID1557770807

PECOS Enrollment IDI20210517002565

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 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

GABRIEL DARIO PATARROYO - APONTE MD

Internal Medicine (Critical Care Medicine)