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LOREN SEMONES N.P.
NPI 1760693576
Nurse Practitioner - Adult Health in Houston, TX

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment
6550 FANNIN ST, SUITE 1901, HOUSTON, TX 77030(713) 441-1100(713) 790-2643 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Loren Semones N.p. NPPES

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

LOREN SEMONES N.P. (NPI 1760693576) is an individual adult health provider in Houston, Texas, licensed in Texas (AP115592) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1760693576
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLOREN SEMONESCredential: N.P.
Location Address6550 FANNIN ST, SUITE 1901Houston, TX 77030-2717
Mailing Address6550 Fannin St, Suite 1901Houston, TX 77030-2717 · (713) 441-1100 · Fax (713) 790-2643
Phone(713) 441-1100
Fax(713) 790-2643
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 24, 2007
Last NPPES UpdateJanuary 10, 2017
✔ NPI 1760693576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · AP115592
Also ListedNurse PractitionerTaxonomy 363L00000X · License 648543 (TX)
6550 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 15

Other8Y2116TX · Blue Cross Blue Shield
Medicare PIN8F8226TX
OtherP01094707TX · Rr Medicare
Medicaid185900102TX
Medicaid1898520LA
Other8Y2116TX · Bcbs
Medicare PINTXB145770TX
Medicare PIN340748ZSWDTX
Medicare PIN8J6646TX
Medicaid185900101TX
Medicare PIN340748YMVQTX
Other8953NFTX · Blue Cross Blue Shield
OtherP01507432TX · Rr Medicare
Medicaid185900104TX
Medicaid185900103TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Loren Semones N.p. 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 ID5193816320
PECOS Enrollment IDI20070802000260
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 6

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
137 services64 patients
Remote monitoring of pulmonary artery pressure sensor, up to 30 days 93264
Remote monitoring of pulmonary artery pressure is a procedure where a sensor, placed in your lung artery, transmits data about your heart's function for up to 30 days. This helps doctors monitor your heart health remotely, ensuring timely intervention if needed.
119 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services40 patients
Evaluation of lower heart chamber assist device 93750
An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.
31 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services21 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450709
Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County
Emergency services Birthing friendly

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670077
Location18500 Katy FreewayHouston, TX 77094 · 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.

MEGAN MCCLANAHAN
Student in an Organized Health Care Education/Training Program
6550 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 441-5155
MARIANNE CARLSON PSYD
Psychologist (Clinical)
6550 FANNIN ST
HOUSTON, TX 77030
Harris County (346) 248-2040
MARIE MCLAIN P.A.
Physician Assistant
6550 FANNIN ST, SMITH TOWER, SUITE 1901
HOUSTON, TX 77030
Harris County (713) 441-1100
DALIA MOGHAZY MD
Obstetrics & Gynecology
6550 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 790-3311
YVONNE I-FANG CHU M.D.
Ophthalmology
6550 FANNIN ST, SUITE 1501
HOUSTON, TX 77030
Harris County (713) 798-6100
DR. SAM JERRY LONG D.D.S.
Dentist (General Practice)
6550 FANNIN ST, STE 2103
HOUSTON, TX 77030
Harris County (713) 797-0846
THOMAS W KNIGHT MD
Internal Medicine
6550 FANNIN ST, SMITH 1101
HOUSTON, TX 77030
Harris County (713) 441-0006
DR. JOOHI JIMENEZ-SHAHED M.D.
Psychiatry & Neurology (Neurology)
6550 FANNIN ST, SUITE 1801
HOUSTON, TX 77030
Harris County (713) 798-5975

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 Loren Semones's NPI number?

The NPI number for Loren Semones is 1760693576. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Loren Semones located?

Loren Semones practices at 6550 Fannin St Suite 1901, Houston, TX 77030. The listed phone number is (713) 441-1100.

What is Loren Semones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Loren Semones enrolled in Medicare?

Yes. Loren Semones 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 Loren Semones accept?

Health plans from Molina Healthcare list Loren Semones 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.

Is Loren Semones affiliated with any hospitals?

According to CMS data, Loren Semones is affiliated with Houston Methodist Hospital, Houston Methodist Clear Lake Hospital and Houston Methodist West Hospital.

When was this NPI record last updated?

The NPPES record for Loren Semones was last updated on January 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.