NICOLE MARIE LEDESMA-GOINS
NPI 1700567864
Nurse Practitioner - Family in Richardson, TX

Q: What is Nicole Ledesma-goins's NPI number?

The NPI number for Nicole Ledesma-goins is 1700567864. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Q: What is Nicole Ledesma-goins's specialty?

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

Active since July 31, 2023PECOS EnrolledAccepts Medicare Assignment

2011 N COLLINS BLVD STE 607, RICHARDSON, TX 75080(800) 640-3451 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2026, Sep 18, 2024 (2 updates tracked since 2024).

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About Nicole Marie Ledesma-goins NPPES

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

NICOLE MARIE LEDESMA-GOINS (NPI 1700567864) is an individual family provider in Richardson, Texas, licensed in New Mexico (74939) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1700567864

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE MARIE LEDESMA-GOINS

Location Address2011 N COLLINS BLVD STE 607Richardson, TX 75080-2636

Mailing AddressPo Box 1200Pleasant Grove, UT 84062-1200 · (800) 640-3451

Phone(800) 640-3451

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 31, 2023

Last NPPES UpdateApril 7, 20262 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1700567864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NM · 74939

Also ListedNurse PractitionerTaxonomy 363L00000X · License 1215387 (TX)

2011 N COLLINS BLVD STE 607, Richardson, TX 75080

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Secondary Practice Location 1

Location 13825 Eubank Blvd NE Ste AAlbuquerque, NM 87111-3559 · Phone (800) 640-3451

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

Nicole Marie Ledesma-goins 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 ID6709227481

PECOS Enrollment IDI20240513001103, I20260415000197

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75080 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 20

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

MRS. NICHOLE LYNETTE STRAUGHTER MSN,APRN,FNP-BC

Nurse Practitioner (Family)