CHARMAINE MARY SULAICA NP
NPI 1710353842
Nurse Practitioner - Pediatrics in Crystal City, TX

Q: What is Charmaine Sulaica's NPI number?

The NPI number for Charmaine Sulaica is 1710353842. It was assigned to this individual provider in the NPPES registry on August 12, 2015.

Q: What is Charmaine Sulaica's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Charmaine Sulaica was last updated on June 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 12, 2015PECOS Enrolled

308 S CESAR CHAVEZ AVE, CRYSTAL CITY, TX 78839(830) 374-2301(830) 374-9368 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2025, Jul 12, 2021, Jul 7, 2021 and 2 more (5 updates tracked since 2016).

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About Charmaine Mary Sulaica Np NPPES

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

CHARMAINE MARY SULAICA NP (NPI 1710353842) is an individual pediatrics provider in Crystal City, Texas, licensed in Texas (AP128590) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1710353842

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameCHARMAINE MARY SULAICACredential: NP

Location Address308 S CESAR CHAVEZ AVECrystal City, TX 78839-4200

Mailing Address308 S Cesar Chavez AveCrystal City, TX 78839-4200 · (317) 266-2901

Phone(830) 374-2301

Fax(830) 374-9368

Sole ProprietorNo

Enumeration DateAugust 12, 2015

Last NPPES UpdateJune 24, 20255 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1710353842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

Licenses✔ Licensed in TX · AP128590✔ Licensed in IN · 71007931A

308 S CESAR CHAVEZ AVE, Crystal City, TX 78839

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Secondary Practice Location 1

Location 16940 Michigan RdIndianapolis, IN 46268-2800 · Phone (317) 266-2901

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charmaine Mary Sulaica Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78839 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 13

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

VIDA Y SALUD HEALTH SYSTEMS INC

Pharmacy (Clinic Pharmacy)