PATRICIA PADILLA
NPI 1437709144
Nurse Practitioner - Family in Mcallen, TX

Active since September 14, 2019PECOS EnrolledAccepts Medicare Assignment
86.22/100
CMS Quality Rating
1100 E DOVE AVE STE 300, MCALLEN, TX 78504(956) 362-8170(956) 362-8168 Get Directions Write a Review

NPPES record last updated: February 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2022, Sep 14, 2019 (2 updates tracked since 2019).

About Patricia Padilla NPPES

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

PATRICIA PADILLA (NPI 1437709144) is an individual family provider in Mcallen, Texas, licensed in Texas (AP142869) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1437709144
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePATRICIA PADILLA
Location Address1100 E DOVE AVE STE 300Mcallen, TX 78504-4682
Mailing AddressPo Box 2975Mcallen, TX 78502-2975 · (956) 362-8170 · Fax (956) 362-8168
Fax(956) 362-8168
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 14, 2019
Last NPPES UpdateFebruary 12, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2022
NPI 1437709144 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 · AP142869
1100 E DOVE AVE STE 300, Mcallen, TX 78504

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

Patricia Padilla 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 ID941690465
PECOS Enrollment IDI20211124000069
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

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.
27 services21 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.03
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner (Family)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Colon & Rectal Surgery
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Physician Assistant
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Surgery (Vascular Surgery)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Surgery (Surgical Critical Care)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Surgery
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Surgery
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Nurse Practitioner (Family)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504

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 Patricia Padilla's NPI number?

The NPI number for Patricia Padilla is 1437709144. It was assigned to this individual provider in the NPPES registry on September 14, 2019.

Where is Patricia Padilla located?

Patricia Padilla practices at 1100 E Dove Ave Ste 300, Mcallen, TX 78504. The listed phone number is (956) 362-8170.

What is Patricia Padilla's specialty?

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

Is Patricia Padilla enrolled in Medicare?

Yes. Patricia Padilla 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 Patricia Padilla accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Patricia Padilla 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 Patricia Padilla affiliated with any hospitals?

According to CMS data, Patricia Padilla is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Patricia Padilla was last updated on February 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.