PATRICIA BUZOMBO
NPI 1528779550
Nurse Practitioner - Family in Jersey Village, TX

Q: What is Patricia Buzombo's NPI number?

The NPI number for Patricia Buzombo is 1528779550. It was assigned to this individual provider in the NPPES registry on December 12, 2022.

Q: What is Patricia Buzombo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Patricia Buzombo was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since December 12, 2022PECOS EnrolledAccepts Medicare Assignment

20320 NORTHWEST FWY STE 400, JERSEY VILLAGE, TX 77065(346) 260-5112(832) 376-7541 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2025, Mar 11, 2025, Dec 12, 2022 (3 updates tracked since 2022).

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About Patricia Buzombo NPPES

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

PATRICIA BUZOMBO (NPI 1528779550) is an individual family provider in Jersey Village, Texas, licensed in Texas (1100722) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1528779550

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePATRICIA BUZOMBO

Location Address20320 NORTHWEST FWY STE 400Jersey Village, TX 77065

Mailing Address20320 Northwest Fwy Ste 400Jersey Village, TX 77065-5643

Phone(346) 260-5112

Fax(832) 376-7541

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 12, 2022

Last NPPES UpdateApril 9, 20253 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1528779550 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 · 1100722

20320 NORTHWEST FWY STE 400, Jersey Village, TX 77065

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patricia Buzombo 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 ID6103264593

PECOS Enrollment IDI20240404000685

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77065 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 6

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

DR. PRECIOUS TABANSI MD

Anesthesiology (Pain Medicine)