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RAQUEL VALDEZ
NPI 1902278500
Nurse Practitioner - Family in Austin, TX

Active since October 22, 2015PECOS EnrolledAccepts Medicare Assignment
50/100
CMS Quality Rating
3000 N IH 35 STE 660, AUSTIN, TX 78705(888) 380-0988(289) 236-3022 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Nov 10, 2021, Nov 20, 2018 (3 updates tracked since 2018).

About Raquel Valdez NPPES

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

RAQUEL VALDEZ (NPI 1902278500) is an individual family provider in Austin, Texas, licensed in Texas (AP129252) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2015).

NPPES Registry Identity

NPI1902278500
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRAQUEL VALDEZ
Location Address3000 N IH 35 STE 660Austin, TX 78705-1851
Mailing Address3000 N Ih 35 Ste 660Austin, TX 78705-1851 · (512) 520-8693
Phone(888) 380-0988
Fax(289) 236-3022
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2015
Enumeration DateOctober 22, 2015
Last NPPES UpdateApril 9, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1902278500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP129252
3000 N IH 35 STE 660, Austin, TX 78705
Open in Google Maps ↗

Other Names 1

Former Name (1)Raquel Gonzalez

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Raquel Valdez 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 ID8527368158
PECOS Enrollment IDI20151203000256
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 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.
655 services125 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.
287 services111 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
125 services47 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
85 services83 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
24 services24 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

50/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities40
Cost100

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.

KYLIE SAGE CRISANTI MD
Physical Medicine & Rehabilitation
3000 N IH 35 STE 660
AUSTIN, TX 78705
Travis County (512) 520-8693
ABBY LOUISE MONTELEONE APRN, FNP-C
Nurse Practitioner (Family)
3000 N IH 35 STE 660
AUSTIN, TX 78705
Travis County (512) 236-1310
KATHY HU MSN, APRN, AGCNS-BC
Clinical Nurse Specialist (Adult Health)
3000 N IH 35 STE 660
AUSTIN, TX 78705
Travis County (512) 236-6963

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 Raquel Valdez's NPI number?

The NPI number for Raquel Valdez is 1902278500. It was assigned to this individual provider in the NPPES registry on October 22, 2015. The provider is also known as Raquel Gonzalez.

Where is Raquel Valdez located?

Raquel Valdez practices at 3000 N Ih 35 Ste 660, Austin, TX 78705. The listed phone number is (888) 380-0988.

What is Raquel Valdez's specialty?

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

Is Raquel Valdez enrolled in Medicare?

Yes. Raquel Valdez 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 Raquel Valdez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Raquel Valdez 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 Raquel Valdez was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.