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 Enrolled

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: October 25, 2026.

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

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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.

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

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

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dagmar Monique Declet 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 Reassignment

Medicare enrollment records show Dagmar Monique Declet reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Physicians

0.1 mi

Anesthesiology

6410 FANNIN ST, 1500
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
3,111 clinicians in this Medicare group

NPI 1033157821 (832) 325-7325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 19

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)