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MRS. CLAUDIA CULP CANTU FNP-C
NPI 1861986903
Nurse Practitioner - Family in Kingsville, TX

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
510 E CAESAR AVENUE, KINGSVILLE, TX 78363(361) 592-8588(361) 592-2357 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Claudia Culp Cantu Fnp-c NPPES

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

MRS. CLAUDIA CULP CANTU FNP-C (NPI 1861986903) is an individual family provider in Kingsville, Texas, licensed in Texas (AP137748) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Kleberg, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1861986903
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CLAUDIA CULP CANTUCredential: FNP-C
Location Address510 E CAESAR AVENUEKingsville, TX 78363-6322
Mailing Address1314 Michael StreetKingsville, TX 78363-6901 · (361) 455-2492
Phone(361) 592-8588
Fax(361) 592-2357
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 21, 2018
✔ NPI 1861986903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP137748
Also ListedFamily MedicineTaxonomy 207Q00000X · License AP137748 (TX)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP137748 (TX)
510 E CAESAR AVENUE, Kingsville, TX 78363
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Other Names 1

Former Name (1)Miss Claudia Elise Culp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, 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 and accepts Medicare assignment

Mrs. Claudia Culp Cantu Fnp-c 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 ID9032461405
PECOS Enrollment IDI20181012000899
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 7

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.

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.
92 services62 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
35 services15 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.
29 services23 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
29 services29 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
22 services12 patients

Hospital Affiliations CMS Care Compare

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

Christus Spohn Hospital Kleberg

Acute Care Hospitals · Kingsville, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450163
Location1311 General Cavazos BlvdKingsville, TX 78363 · Kleberg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78363 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.

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 Claudia Cantu's NPI number?

The NPI number for Claudia Cantu is 1861986903. It was assigned to this individual provider in the NPPES registry on June 21, 2018. The provider is also known as Miss Claudia Elise Culp.

Where is Claudia Cantu located?

Claudia Cantu practices at 510 E Caesar Avenue, Kingsville, TX 78363. The listed phone number is (361) 592-8588.

What is Claudia Cantu's specialty?

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

Is Claudia Cantu enrolled in Medicare?

Yes. Claudia Cantu 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 Claudia Cantu accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Claudia Cantu 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 Claudia Cantu affiliated with any hospitals?

According to CMS data, Claudia Cantu is affiliated with Christus Spohn Hospital Kleberg.

When was this NPI record last updated?

The NPPES record for Claudia Cantu was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.