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DEMIZEL SOTO
NPI 1811527161
Nurse Practitioner in Mcallen, TX

Active since January 24, 2020PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
110 E SAVANNAH AVE STE 203, MCALLEN, TX 78503(956) 686-7611 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2022, Jan 24, 2020 (2 updates tracked since 2020).

About Demizel Soto NPPES

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

DEMIZEL SOTO (NPI 1811527161) is an individual nurse practitioner in Mcallen, Texas, licensed in Texas (AP144754) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811527161
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDEMIZEL SOTO
Location Address110 E SAVANNAH AVE STE 203Mcallen, TX 78503-1241
Mailing AddressPo Box 420Grulla, TX 78548-0420 · (956) 257-5757
Phone(956) 686-7611
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 24, 2020
Last NPPES UpdateNovember 7, 20222 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
✔ NPI 1811527161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP144754
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
110 E SAVANNAH AVE STE 203, Mcallen, TX 78503
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11603 Babcock Rd Ste 234San Antonio, TX 78229-4741 · Phone (956) 257-5757
Location 22925 West AveSan Antonio, TX 78201-2243 · Phone (956) 257-5757

Other Identifiers 1

Medicaid407940201TX

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

Demizel Soto 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 ID9436586401
PECOS Enrollment IDI20200304000877
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 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
771 services306 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
175 services128 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
49 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

ULOMA EZINNE OBI
Nurse Practitioner (Family)
110 E SAVANNAH AVE STE 203
MCALLEN, TX 78503
Hidalgo County (956) 212-5255
IVY ALCALA DANO FNP-C
Nurse Practitioner
110 E SAVANNAH AVE STE 203
MCALLEN, TX 78503
Hidalgo County (956) 686-7611

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 Demizel Soto's NPI number?

The NPI number for Demizel Soto is 1811527161. It was assigned to this individual provider in the NPPES registry on January 24, 2020.

Where is Demizel Soto located?

Demizel Soto practices at 110 E Savannah Ave Ste 203, Mcallen, TX 78503. The listed phone number is (956) 686-7611.

What is Demizel Soto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Demizel Soto enrolled in Medicare?

Yes. Demizel Soto 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 Demizel Soto accept?

Health plans from Blue Cross and Blue Shield of Texas list Demizel Soto 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 Demizel Soto was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.