CATHERINE VALENCIA NP
NPI 1427727023
Nurse Practitioner - Adult Health in Baytown, TX

Active since September 08, 2021PECOS EnrolledAccepts Medicare Assignment
4401 GARTH RD, BAYTOWN, TX 77521(281) 420-8600 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 9, 2022, Sep 8, 2021 (2 updates tracked since 2021).

About Catherine Valencia Np NPPES

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

CATHERINE VALENCIA NP (NPI 1427727023) is an individual adult health provider in Baytown, Texas, licensed in Texas (1033755) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Baytown Hospital, and maintains a secondary practice location in Baytown.

NPPES Registry Identity

NPI1427727023
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCATHERINE VALENCIACredential: NP
Location Address4401 GARTH RDBaytown, TX 77521-2122
Mailing Address2922 Alice StHouston, TX 77054-2752 · (832) 641-0629
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 8, 2021
Last NPPES UpdateFebruary 9, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2022
✔ NPI 1427727023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · 1033755
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1033755 (TX)
4401 GARTH RD, Baytown, TX 77521

Secondary Practice Location 1

Location 14201 Garth Rd Ste 307Baytown, TX 77521-3156 · Phone (832) 556-6046

Accepted 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

Catherine Valencia Np 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 ID7911396759
PECOS Enrollment IDI20211116002095
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.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
184 services148 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
134 services120 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services32 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services28 patients
Simple bladder irrigation and/or instillation 51700
Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.
24 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · Harris County
Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450709
Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77521 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.

Plastic Surgery
4401 GARTH RD
BAYTOWN, TX 77521
Hospitalist
4401 GARTH RD
BAYTOWN, TX 77521
Nurse Practitioner (Adult Health)
4401 GARTH RD
BAYTOWN, TX 77521
Nurse Practitioner (Adult Health)
4401 GARTH RD
BAYTOWN, TX 77521
Hospitalist
4401 GARTH RD
BAYTOWN, TX 77521
Nurse Practitioner (Family)
4401 GARTH RD
BAYTOWN, TX 77521
Pharmacist
4401 GARTH RD
BAYTOWN, TX 77521
Pharmacist
4401 GARTH RD
BAYTOWN, TX 77521

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 Catherine Valencia's NPI number?

The NPI number for Catherine Valencia is 1427727023. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Where is Catherine Valencia located?

Catherine Valencia practices at 4401 Garth Rd, Baytown, TX 77521. The listed phone number is (281) 420-8600.

What is Catherine Valencia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Catherine Valencia enrolled in Medicare?

Yes. Catherine Valencia 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.

What insurance does Catherine Valencia accept?

Health plans from Community Health Choice, Molina Healthcare and WellPoint list Catherine Valencia 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 Catherine Valencia affiliated with any hospitals?

According to CMS data, Catherine Valencia is affiliated with Houston Methodist Baytown Hospital and Houston Methodist Clear Lake Hospital.

When was this NPI record last updated?

The NPPES record for Catherine Valencia was last updated on February 9, 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.