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MR. JUAN ANTONIO BARAJAS JR. MSN APRN FNP-BC
NPI 1598368300
Nurse Practitioner - Family in Mcallen, TX

Active since November 16, 2020PECOS EnrolledAccepts Medicare Assignment
2121 HIBISCUS AVE, MCALLEN, TX 78501(956) 648-2339 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Juan Antonio Barajas Jr. Msn Aprn Fnp-bc NPPES

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

MR. JUAN ANTONIO BARAJAS JR. MSN APRN FNP-BC (NPI 1598368300) is an individual family provider in Mcallen, Texas, licensed in Texas (723785) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1598368300
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JUAN ANTONIO BARAJAS JR.Credential: MSN APRN FNP-BC
Location Address2121 HIBISCUS AVEMcallen, TX 78501-6029
Mailing Address2121 Hibiscus AveMcallen, TX 78501-6029 · (956) 648-2339
Phone(956) 648-2339
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 16, 2020
NPPES CertifiedNovember 16, 2020
✔ NPI 1598368300 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 · 723785
2121 HIBISCUS AVE, Mcallen, TX 78501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Mr. Juan Antonio Barajas Jr. Msn Aprn Fnp-bc 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 ID4981149077
PECOS Enrollment IDI20240712002883
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

2

Medicare enrollment records show Juan Barajas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rafael Rafols MD PA
3.4 mi
Family Medicine
2009 E GRIFFIN PKWY
Mission, TX 78572
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group
NPI 1891071106 (956) 600-7747
Valley Hospitalist Group, PLLC
6.4 mi
Hospitalist
3303 W ALBERTA RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1457732349 (956) 424-6163

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 3

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
203 services28 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
83 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78501 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
14 suppliers63 claims15,124 services$0.03 avg. paid by Medicare
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
4 suppliers21 claims734 services$0.14 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
20 suppliers46 claims46 services$23.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Juan Barajas's NPI number?

The NPI number for Juan Barajas is 1598368300. It was assigned to this individual provider in the NPPES registry on November 16, 2020.

Where is Juan Barajas located?

Juan Barajas practices at 2121 Hibiscus Ave, Mcallen, TX 78501. The listed phone number is (956) 648-2339.

What is Juan Barajas's specialty?

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

Is Juan Barajas enrolled in Medicare?

Yes. Juan Barajas 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 Juan Barajas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Barajas reassigns Medicare benefits to 2 organizations: Rafael Rafols MD PA (Mission, TX) and Valley Hospitalist Group, PLLC (Edinburg, TX). 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 Juan Barajas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Barajas accept?

Health plans from Oscar Insurance Company list Juan Barajas 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 Juan Barajas affiliated with any hospitals?

According to CMS data, Juan Barajas is affiliated with South Texas Health System.

When was this NPI record last updated?

The NPPES record for Juan Barajas was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.