ANGELIC PEDRAZA FNP-C
NPI 1619620903
Nurse Practitioner - Family in Raymondville, TX
About Angelic Pedraza Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELIC PEDRAZA FNP-C (NPI 1619620903) is an individual family provider in Raymondville, Texas, licensed in Texas (1058079) and active in the NPI registry since January 2022. She has opted out of Medicare through January 19, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Angelic Pedraza Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 19, 2026 through January 19, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78580 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Angelic Pedraza's NPI number?
The NPI number for Angelic Pedraza is 1619620903. It was assigned to this individual provider in the NPPES registry on January 27, 2022.
Where is Angelic Pedraza located?
Angelic Pedraza practices at 1800 Industrial Dr, Raymondville, TX 78580. The listed phone number is (956) 689-9999.
What is Angelic Pedraza's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Angelic Pedraza enrolled in Medicare?
No. Angelic Pedraza has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Angelic Pedraza was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Angelic Pedraza, FNP-C · NPI 1619620903
Family physician in Raymondville, Texas. Individual provider, active in the CMS NPPES registry since January 27, 2022.
## Identity
- **NPI:** 1619620903 (Entity type: Individual)
- **Enumerated:** January 27, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1058079 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1800 INDUSTRIAL DR, Raymondville, TX 78580-4162
- **Phone:** (956) 689-9999
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 19, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** January 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1619620903) · Data from the CMS NPPES public registry.