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DENISE CRAIG FNP-C
NPI 1649764168
Nurse Practitioner in Port Arthur, TX

Active since June 18, 2018PECOS Enrolled
81.57/100
CMS Quality Rating
8455 9TH AVE STE A, PORT ARTHUR, TX 77642(409) 351-2553 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Denise Craig Fnp-c NPPES

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

DENISE CRAIG FNP-C (NPI 1649764168) is an individual nurse practitioner in Port Arthur, Texas, licensed in Texas (AP137741) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649764168
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDENISE CRAIGCredential: FNP-C
Location Address8455 9TH AVE STE APort Arthur, TX 77642-8021
Mailing Address8455 9th AvePort Arthur, TX 77642-8021 · (409) 729-5433 · Fax (409) 729-1083
Phone(409) 351-2553
Sole ProprietorNo
Enumeration DateJune 18, 2018
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1649764168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP137741
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8455 9TH AVE STE A, Port Arthur, TX 77642
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denise Craig Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Denise Craig reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unified Women's Healthcare Of Texas PLLC
267 mi
Obstetrics & Gynecology
15303 DALLAS PKWY STE 650
Addison, TX 75001
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Unified Womens Healthcare Of Texas PLLC
  • 271 clinicians in this Medicare group
NPI 1952703373 (561) 300-2410

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77642 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
$83.80 typical visit price
range $54.04 – $164.93
Typical copayment $20.95 (range $13.51 – $41.23)
Most-billed visit code 99203
Established Patient
$95.83 typical visit price
range $17.17 – $134.47
Typical copayment $23.95 (range $4.29 – $33.61)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.05
Promoting Interoperability100
Improvement Activities40
Cost53.51

Reported Quality Measures

Breast Cancer Screening
79%63 patients4/55-star benchmark: 93%
Cervical Cancer Screening
92%662 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
18%39 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
100%1,394 patients5/55-star benchmark: 100%
e-Prescribing
99%676 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%801 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 19% · 751 patients
17%751 patients
Provide Patients Electronic Access to Their Health Information
91%520 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

ROJINA HABIB JASANI MD
Obstetrics & Gynecology
8455 9TH AVE STE A
PORT ARTHUR, TX 77642
Jefferson County (409) 729-5433

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 Denise Craig's NPI number?

The NPI number for Denise Craig is 1649764168. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Denise Craig located?

Denise Craig practices at 8455 9th Ave Ste A, Port Arthur, TX 77642. The listed phone number is (409) 351-2553.

What is Denise Craig's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Denise Craig enrolled in Medicare?

Yes. Denise Craig is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Denise Craig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Craig reassigns Medicare benefits to Unified Women's Healthcare Of Texas PLLC (Addison, TX). The 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 Denise Craig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Craig accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Denise Craig 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 Denise Craig was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.