ERIK TIJERINA FNP
NPI 1558696278
Nurse Practitioner - Family in Gun Barrel City, TX

Q: What is Erik Tijerina's NPI number?

The NPI number for Erik Tijerina is 1558696278. It was assigned to this individual provider in the NPPES registry on October 14, 2009.

Q: What is Erik Tijerina'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 Erik Tijerina was last updated on June 30, 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.

Active since October 14, 2009PECOS EnrolledAccepts Medicare Assignment

4.82/100

CMS Quality Rating

126 W MAIN ST STE C, GUN BARREL CITY, TX 75156(903) 802-9062 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2020, Jun 14, 2017 (2 updates tracked since 2017).

On this page

About Erik Tijerina Fnp NPPES

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

ERIK TIJERINA FNP (NPI 1558696278) is an individual family provider in Gun Barrel City, Texas, licensed in Texas (693274) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Athens Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558696278

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameERIK TIJERINACredential: FNP

Location Address126 W MAIN ST STE CGun Barrel City, TX 75156-5404

Mailing Address815 E Royall Blvd Ste 3Malakoff, TX 75148-9255 · (903) 489-0101

Phone(903) 802-9062

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateOctober 14, 2009

Last NPPES UpdateJune 30, 20202 updates tracked since enumeration

NPPES CertifiedJune 30, 2020

✔ NPI 1558696278 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 · 693274

126 W MAIN ST STE C, Gun Barrel City, TX 75156

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1801 WEST MAINGUN BARRELL CITY, TX 75156 · Phone (903) 887-6252 · Fax (903) 887-3668

Location 2815 E Royall BlvdMalakoff, TX 75148-9255 · Phone (903) 489-0101

Other Identifiers 1

Other67-3802TX · Medicare Rhc Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Erik Tijerina Fnp 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 ID2961680194

PECOS Enrollment IDI20110617000069

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 18

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,008 services195 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.

578 services194 patients

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

530 services42 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

273 services45 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

235 services37 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

223 services36 patients

Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321

Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.

212 services32 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

145 services55 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

132 services130 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

60 services20 patients

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.

57 services48 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

31 services25 patients

Injection of contrast for imaging of knee joint 27369

This procedure involves injecting a contrast agent into the knee joint to enhance imaging clarity. The contrast helps highlight structures like ligaments, cartilage, and tendons, aiding in accurate diagnosis. It's generally safe with minor discomfort.

27 services22 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

27 services17 patients

Review by radiologist of knee joint image 73580

A radiologist, a doctor specialized in interpreting medical images, examines your knee joint image. This helps identify issues like fractures, arthritis, or other abnormalities. This review is vital for accurate diagnosis and treatment planning.

27 services20 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

19 services16 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.

15 services15 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

15 services13 patients

Hospital Affiliations CMS Care Compare

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

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450389

Location2000 South Palestine StAthens, TX 75751 · Henderson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75156 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.

4.82/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

16.06

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers25 claims108 services$6.54 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

2 suppliers16 claims16 services$2.95 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers15 claims36 services$1.14 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

1 supplier20 claims39 services$1.44 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers14 claims14 services$110.84 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

1 supplier13 claims39 services$41.36 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TRI-COUNTY FAMILY MEDICINE PLLC

Family Medicine

126 W MAIN ST STE C
GUN BARREL CITY, TX 75156

Henderson County (903) 887-1092

SYLVIA BROWN-CATES NP

Nurse Practitioner (Family)

126 W MAIN ST STE C
GUN BARREL CITY, TX 75156

Henderson County (903) 887-1092

DAWN MICHELLE SUMMERHILL NP

Nurse Practitioner (Primary Care)

126 W MAIN ST STE C
GUN BARREL CITY, TX 75156

Henderson County (903) 887-1092

MRS. JULIE NELL KILCREASE FNP

Nurse Practitioner (Family)

126 W MAIN ST STE C
GUN BARREL CITY, TX 75156

Henderson County (903) 887-6252

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 Erik Tijerina's NPI number?

The NPI number for Erik Tijerina is 1558696278. It was assigned to this individual provider in the NPPES registry on October 14, 2009.

Where is Erik Tijerina located?

Erik Tijerina practices at 126 W Main St Ste C, Gun Barrel City, TX 75156. The listed phone number is (903) 802-9062.

What is Erik Tijerina's specialty?

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

Is Erik Tijerina enrolled in Medicare?

Yes. Erik Tijerina 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 Erik Tijerina accept?

Health plans from Blue Cross and Blue Shield of Texas list Erik Tijerina 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 Erik Tijerina affiliated with any hospitals?

According to CMS data, Erik Tijerina is affiliated with Ut Health East Texas Athens Hospital.

When was this NPI record last updated?

The NPPES record for Erik Tijerina was last updated on June 30, 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.