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ERIKA NAVARRO
NPI 1811454036
Nurse Practitioner - Family in Sugar Land, TX

Active since February 24, 2019PECOS EnrolledAccepts Medicare Assignment
1227 MUSEUM SQUARE DR STE A, SUGAR LAND, TX 77479(281) 915-9041 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Aug 2, 2024, Apr 24, 2019 and 1 more (4 updates tracked since 2019).

About Erika Navarro NPPES

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

ERIKA NAVARRO (NPI 1811454036) is an individual family provider in Sugar Land, Texas, licensed in Texas (AP140716) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811454036
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERIKA NAVARRO
Location Address1227 MUSEUM SQUARE DR STE ASugar Land, TX 77479-4630
Mailing Address801 E Nolana AveMcallen, TX 78504-6104 · (956) 391-2654
Phone(281) 915-9041
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 24, 2019
Last NPPES UpdateSeptember 19, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1811454036 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 TX · AP140716
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP140716 (TX)
1227 MUSEUM SQUARE DR STE A, Sugar Land, TX 77479
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1801 E Nolana AveMcAllen, TX 78504 · Phone (956) 391-2654
Location 2734 Ficus StLA Joya, TX 78560-4094 · Phone (224) 766-0263

Accepted Insurance

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

Erika Navarro 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 ID5395146963
PECOS Enrollment IDI20210702001597
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 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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 3

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

DIBA SHABANI PA-C
Physician Assistant
1227 MUSEUM SQUARE DR STE A
SUGAR LAND, TX 77479
Fort Bend County (281) 915-9041
MEMORIAL HERMANN URGENT CARE PLLC
Family Medicine
1227 MUSEUM SQUARE DR STE A
SUGAR LAND, TX 77479
Fort Bend County (281) 265-4630
IMRAN SHAFI P.A.
Physician Assistant
1227 MUSEUM SQUARE DR STE A
SUGAR LAND, TX 77479
Fort Bend County (281) 915-9041

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 Erika Navarro's NPI number?

The NPI number for Erika Navarro is 1811454036. It was assigned to this individual provider in the NPPES registry on February 24, 2019.

Where is Erika Navarro located?

Erika Navarro practices at 1227 Museum Square Dr Ste A, Sugar Land, TX 77479. The listed phone number is (281) 915-9041.

What is Erika Navarro's specialty?

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

Is Erika Navarro enrolled in Medicare?

Yes. Erika Navarro 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 Erika Navarro accept?

Health plans from Blue Cross and Blue Shield of Texas list Erika Navarro 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 Erika Navarro was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.