DONICA WEST
NPI 1609474063
Nurse Practitioner - Family in Cleburne, TX

Active since October 16, 2020PECOS EnrolledAccepts Medicare Assignment
220 N RIDGEWAY DR, CLEBURNE, TX 76033(817) 556-4800(817) 774-5015 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Donica West NPPES

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

DONICA WEST (NPI 1609474063) is an individual family provider in Cleburne, Texas, licensed in Texas (1016788) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609474063
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDONICA WEST
Location Address220 N RIDGEWAY DRCleburne, TX 76033-4115
Mailing Address220 N Ridgeway DrCleburne, TX 76033-4115 · (817) 556-4800 · Fax (817) 774-5015
Fax(817) 774-5015
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 16, 2020
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
NPI 1609474063 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 · 1016788
220 N RIDGEWAY DR, Cleburne, TX 76033

Accepted 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

Donica West 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 ID9335514140
PECOS Enrollment IDI20230410001605
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 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.

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.
66 services58 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76033 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 14

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

Nurse Practitioner (Family)
220 N RIDGEWAY DR
CLEBURNE, TX 76033
Durable Medical Equipment & Medical Supplies
220 N RIDGEWAY DR
CLEBURNE, TX 76033
Nurse Practitioner (Family)
220 N RIDGEWAY DR
CLEBURNE, TX 76033
Family Medicine
220 N RIDGEWAY DR
CLEBURNE, TX 76033
Nurse Practitioner
220 N RIDGEWAY DR
CLEBURNE, TX 76033
Nurse Practitioner (Family)
220 N RIDGEWAY DR
CLEBURNE, TX 76033
Family Medicine
220 N RIDGEWAY DR
CLEBURNE, TX 76033
Nurse Practitioner
220 N RIDGEWAY DR
CLEBURNE, TX 76033

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 Donica West's NPI number?

The NPI number for Donica West is 1609474063. It was assigned to this individual provider in the NPPES registry on October 16, 2020.

Where is Donica West located?

Donica West practices at 220 N Ridgeway Dr, Cleburne, TX 76033. The listed phone number is (817) 556-4800.

What is Donica West's specialty?

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

Is Donica West enrolled in Medicare?

Yes. Donica West 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 Donica West accept?

Health plans from Blue Cross and Blue Shield of Texas list Donica West 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 Donica West was last updated on March 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.