ARETHA PASCUAL
NPI 1689135923
Nurse Practitioner - Family in Baytown, TX

Active since March 28, 2019PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2802 GARTH RD, BAYTOWN, TX 77521(281) 838-8575 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aretha Pascual NPPES

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

ARETHA PASCUAL (NPI 1689135923) is an individual family provider in Baytown, Texas, licensed in Texas (AP140877) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689135923
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameARETHA PASCUAL
Location Address2802 GARTH RDBaytown, TX 77521-3900
Mailing Address700 Grantham RdBaytown, TX 77521-4229 · (407) 619-2742
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 28, 2019
NPI 1689135923 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 · AP140877
2802 GARTH RD, Baytown, TX 77521

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

Aretha Pascual 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 ID8426389958
PECOS Enrollment IDI20191014002008
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 5

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
702 services208 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
27 services18 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.
26 services13 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
15 services15 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77521 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Family Medicine
2802 GARTH RD, 110
BAYTOWN, TX 77521
Psychiatry & Neurology (Psychiatry)
2802 GARTH RD, SUITE 105
BAYTOWN, TX 77521
Pain Medicine (Interventional Pain Medicine)
2802 GARTH RD, SUITE 207
BAYTOWN, TX 77521
Dentist (Orthodontics and Dentofacial Orthopedics)
2802 GARTH RD, SUITE 311
BAYTOWN, TX 77521
Internal Medicine (Gastroenterology)
2802 GARTH RD, SUITE 115
BAYTOWN, TX 77521
Internal Medicine (Gastroenterology)
2802 GARTH RD, STE. #201
BAYTOWN, TX 77521
Clinic/Center (Physical Therapy)
2802 GARTH RD, SUITE 110
BAYTOWN, TX 77521
Clinic/Center (Sleep Disorder Diagnostic)
2802 GARTH RD, STE 205
BAYTOWN, TX 77521

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 Aretha Pascual's NPI number?

The NPI number for Aretha Pascual is 1689135923. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Aretha Pascual located?

Aretha Pascual practices at 2802 Garth Rd, Baytown, TX 77521. The listed phone number is (281) 838-8575.

What is Aretha Pascual's specialty?

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

Is Aretha Pascual enrolled in Medicare?

Yes. Aretha Pascual 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 Aretha Pascual accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Aretha Pascual 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 Aretha Pascual was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.