ESMERALDA V LITTLE NP
NPI 1649407693
Nurse Practitioner - Acute Care in Fort Sam Houston, TX
About Esmeralda V Little Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESMERALDA V LITTLE NP (NPI 1649407693) is an individual acute care provider in Fort Sam Houston, Texas, licensed in Texas (AP118210) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of University Of Texas Medical School At San Antonio (2009).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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
Esmeralda V Little Np 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.
Medicare Billing Reassignments
4Medicare enrollment records show Esmeralda Little reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Antonio, TX 78216
- Reassigned Medicare billing, Texas enrollment
- 688 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 681 clinicians in this Medicare group
Cedar Park, TX 78613
- Reassigned Medicare billing, Texas enrollment
- 104 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Texas enrollment
- 2,009 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Hospital
Acute Care Hospitals · San Antonio, TXHill Country Memorial Hospital
Acute Care Hospitals · Fredericksburg, TXResolute Health Hospital
Acute Care Hospitals · New Braunfels, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78234 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
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 Esmeralda Little's NPI number?
The NPI number for Esmeralda Little is 1649407693. It was assigned to this individual provider in the NPPES registry on June 17, 2009.
Where is Esmeralda Little located?
Esmeralda Little practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 539-9582.
What is Esmeralda Little's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Esmeralda Little enrolled in Medicare?
Yes. Esmeralda Little 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 Esmeralda Little's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Esmeralda Little reassigns Medicare benefits to 4 organizations: Ipc Healthcare Services Of Texas, PLLC (San Antonio, TX), Hospital Medicine Services Of Tx, PLLC (San Antonio, TX), Usacs Critical Care Medicine Services Of Texas, PLLC (Cedar Park, TX) and Hospitalist Medicine Physicians Of Texas, PLLC (Humble, 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 Esmeralda Little's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Esmeralda Little accept?
Health plans from Blue Cross and Blue Shield of Texas, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Esmeralda Little 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 Esmeralda Little affiliated with any hospitals?
According to CMS data, Esmeralda Little is affiliated with Methodist Hospital, Hill Country Memorial Hospital and Resolute Health Hospital.
When was this NPI record last updated?
The NPPES record for Esmeralda Little was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Esmeralda V Little, NP · NPI 1649407693
Acute Care physician in Fort Sam Houston, Texas. Individual provider, active in the CMS NPPES registry since June 17, 2009.
## Identity
- **NPI:** 1649407693 (Entity type: Individual)
- **Enumerated:** June 17, 2009
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** AP118210 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234-4504
- **Phone:** (210) 539-9582
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Ipc Healthcare Services Of Texas, PLLC (NPI 1023403011, San Antonio, TX); Hospital Medicine Services Of Tx, PLLC (NPI 1881392363, San Antonio, TX); Usacs Critical Care Medicine Services Of Texas, PLLC (NPI 1023522554, Cedar Park, TX); Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095, Humble, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At San Antonio, class of 2009
## Record status
- **NPPES last updated:** December 19, 2023
- **Other identifiers:** Medicaid 299880902 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1649407693) · Data from the CMS NPPES public registry.