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DR. ISMAEL GUERRA JR. DNP FNPC
NPI 1528432267
Nurse Practitioner - Family in Brownsville, TX

Active since November 18, 2015PECOS EnrolledAccepts Medicare Assignment
56 E PRICE RD, BROWNSVILLE, TX 78521(956) 548-2020(956) 548-2025 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 3, 2020, Dec 8, 2015, Nov 18, 2015 (3 updates tracked since 2015).

About Dr. Ismael Guerra Jr. Dnp Fnpc NPPES

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

DR. ISMAEL GUERRA JR. DNP FNPC (NPI 1528432267) is an individual family provider in Brownsville, Texas, licensed in Texas (AP129789) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1528432267
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. ISMAEL GUERRA JR.Credential: DNP FNPC
Location Address56 E PRICE RDBrownsville, TX 78521-3508
Mailing Address56 E Price Rd, Family Allergy & Asthma, PaBrownsville, TX 78521-3508 · (956) 832-4123
Phone(956) 548-2020
Fax(956) 548-2025
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 18, 2015
Last NPPES UpdateApril 3, 20203 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
✔ NPI 1528432267 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 · AP129789
56 E PRICE RD, Brownsville, TX 78521
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

Dr. Ismael Guerra Jr. Dnp Fnpc 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 ID3678878550
PECOS Enrollment IDI20160302000426
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.
35 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78521 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.

Other Providers at the Same Location NPPES 4

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

LIZETTE CISNEROS FNP
Nurse Practitioner (Family)
56 E PRICE RD
BROWNSVILLE, TX 78521
Cameron County (956) 548-2020
FAMILY ALLERGY & ASTHMA CENTER PA
Allergy & Immunology (Allergy)
56 E PRICE RD
BROWNSVILLE, TX 78521
Cameron County (956) 548-2020
SHAHID A BANGASH M.D.
Allergy & Immunology (Allergy)
56 E PRICE RD
BROWNSVILLE, TX 78521
Cameron County (956) 548-2020
NEUROLOGY & EPILEPSY CENTER PA
Pediatrics
56 E PRICE RD
BROWNSVILLE, TX 78521
Cameron County (956) 548-2020

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 Ismael Guerra's NPI number?

The NPI number for Ismael Guerra is 1528432267. It was assigned to this individual provider in the NPPES registry on November 18, 2015.

Where is Ismael Guerra located?

Ismael Guerra practices at 56 E Price Rd, Brownsville, TX 78521. The listed phone number is (956) 548-2020.

What is Ismael Guerra's specialty?

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

Is Ismael Guerra enrolled in Medicare?

Yes. Ismael Guerra 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 Ismael Guerra 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 Ismael Guerra 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 Ismael Guerra was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.