JOSE ENCARNACION ESPINOZA FNP-C
NPI 1497038376
Nurse Practitioner - Family in Brownsville, TX

Active since September 27, 2011PECOS EnrolledAccepts Medicare Assignment
6210 PECOS RIVER ST, BROWNSVILLE, TX 78526(956) 346-5175 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jose Encarnacion Espinoza Fnp-c NPPES

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

JOSE ENCARNACION ESPINOZA FNP-C (NPI 1497038376) is an individual family provider in Brownsville, Texas, licensed in Texas (689319) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1497038376
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOSE ENCARNACION ESPINOZACredential: FNP-C
Location Address6210 PECOS RIVER STBrownsville, TX 78526-4139
Mailing Address6210 Pecos River StBrownsville, TX 78526-4139 · (956) 346-5175
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 27, 2011
✔ NPI 1497038376 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 · 689319
6210 PECOS RIVER ST, Brownsville, TX 78526

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose Encarnacion Espinoza Fnp-c 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 ID4082875232
PECOS Enrollment IDI20120413000632
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 Reassignments

8

Medicare enrollment records show Jose Espinoza reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
5501 S EXPRESSWAY 77
Harlingen, TX 78550
  • Reassigned Medicare billing, Texas enrollment
  • 47 clinicians in this Medicare group
Family Medicine
1401 E 8TH ST
Weslaco, TX 78596
  • Reassigned Medicare billing, Texas enrollment
  • 31 clinicians in this Medicare group
Emergency Medicine
1401 E 8TH ST
Weslaco, TX 78596
  • Reassigned Medicare billing, Texas enrollment
  • 44 clinicians in this Medicare group
Emergency Medicine
1102 W TRENTON RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 59 clinicians in this Medicare group
Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group
Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Texas enrollment
  • 480 clinicians in this Medicare group
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Texas enrollment
  • 435 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
85 services85 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
61 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78526 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.

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 Jose Espinoza's NPI number?

The NPI number for Jose Espinoza is 1497038376. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Where is Jose Espinoza located?

Jose Espinoza practices at 6210 Pecos River St, Brownsville, TX 78526. The listed phone number is (956) 346-5175.

What is Jose Espinoza's specialty?

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

Is Jose Espinoza enrolled in Medicare?

Yes. Jose Espinoza 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.

Which organizations bill Medicare for Jose Espinoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Espinoza reassigns Medicare benefits to 8 organizations: Emergency Physicians Of South Texas PLLC (Harlingen, TX), Knapp Medical Group (Weslaco, TX), Rio Grande Valley Emergency Physicians PLLC (Weslaco, TX), Rio Valley Emergency Physician Associates PLLC (Edinburg, TX), Travis County Emergency Physicians PA (Austin, TX) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Espinoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Espinoza accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Community First, Moda Health Plan, Inc. and Molina Healthcare and 2 other insurers list Jose Espinoza 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.

When was this NPI record last updated?

The NPPES record for Jose Espinoza was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.