TANISHA RENEE STAPLES AGACNP-BC
NPI 1700685765
Nurse Practitioner - Acute Care in Houston, TX

Active since March 12, 2025PECOS EnrolledAccepts Medicare Assignment
6411 FANNIN ST, HOUSTON, TX 77030(713) 704-4000 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tanisha Renee Staples Agacnp-bc NPPES

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

TANISHA RENEE STAPLES AGACNP-BC (NPI 1700685765) is an individual acute care provider in Houston, Texas, licensed in Texas (1192698) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1700685765
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameTANISHA RENEE STAPLESCredential: AGACNP-BC
Location Address6411 FANNIN STHouston, TX 77030-1501
Mailing Address14220 Park Row Dr Apt 513Houston, TX 77084-5184 · (832) 748-5549
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
NPI 1700685765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TX · 1192698
6411 FANNIN ST, Houston, TX 77030

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

Tanisha Renee Staples Agacnp-bc 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 ID8921521659
PECOS Enrollment IDI20250402003087
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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.

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.

Anesthesiology
6411 FANNIN ST
HOUSTON, TX 77030
Physician Assistant
6411 FANNIN ST, STE 1020
HOUSTON, TX 77030
Pathology (Anatomic Pathology)
6411 FANNIN ST
HOUSTON, TX 77030
Pathology (Clinical Pathology/Laboratory Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Pathology (Anatomic Pathology)
6411 FANNIN ST
HOUSTON, TX 77030
Pathology (Clinical Pathology/Laboratory Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Pathology (Clinical Pathology/Laboratory Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Pathology (Anatomic Pathology)
6411 FANNIN ST
HOUSTON, TX 77030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700685765, enumerated as an "individual" on March 12, 2025.

The provider is located at 6411 FANNIN ST HOUSTON, TX 77030 and the phone number is (713) 704-4000.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.

Tanisha Staples is affiliated with: MEMORIAL HERMANN - TEXAS MEDICAL CENTER.