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SOMMER ORTIZ FNP-C
NPI 1912623679
Nurse Practitioner - Family in Orange Grove, TX

Active since October 14, 2022PECOS Enrolled
101 S EUGENIA ST, ORANGE GROVE, TX 78372(361) 382-2024(855) 606-6314 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2025, Oct 14, 2022 (2 updates tracked since 2022).

About Sommer Ortiz Fnp-c NPPES

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

SOMMER ORTIZ FNP-C (NPI 1912623679) is an individual family provider in Orange Grove, Texas, licensed in Texas (1097197) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Alice, and maintains a secondary practice location in Alice.

NPPES Registry Identity

NPI1912623679
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOMMER ORTIZCredential: FNP-C
Location Address101 S EUGENIA STOrange Grove, TX 78372-2309
Mailing AddressPo Box 301Orange Grove, TX 78372-0301
Phone(361) 382-2024
Fax(855) 606-6314
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 14, 2022
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1912623679 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 · 1097197
101 S EUGENIA ST, Orange Grove, TX 78372
Open in Google Maps ↗

Secondary Practice Location 1

Location 13308 E Main StAlice, TX 78332 · Phone (361) 998-9970

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sommer Ortiz Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597133686
PECOS Enrollment IDI20221121002864
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sommer Ortiz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hometown Healthcare LLC
Same address
Family Medicine
101 S EUGENIA ST
Orange Grove, TX 78372
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1255851465 (830) 879-2279
Gulf Coast Emergency Physicians, PLLC
15 mi
Emergency Medicine
2500 E MAIN ST
Alice, TX 78332
  • Reassigned Medicare billing, Texas enrollment
  • 174 clinicians in this Medicare group
NPI 1972286920 (361) 661-8000
Ucp Physicians Of Central Texas, PLLC
156 mi
Urgent Care
6001 W WILLIAM CANNON DR STE 302
Austin, TX 78749
  • Reassigned Medicare billing, Texas enrollment
  • 241 clinicians in this Medicare group
NPI 1154472967 (512) 288-3627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
17 services17 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 Alice

Acute Care Hospitals · Alice, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450828
Location2500 E Main StreetAlice, TX 78332 · Jim Wells County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78372 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.

HOMETOWN HEALTHCARE LLC
Family Medicine
101 S EUGENIA ST
ORANGE GROVE, TX 78372
Jim Wells County (830) 879-2279
MR. WILL DONN THOMPSON MPAS, PA-C
Physician Assistant
101 S EUGENIA ST
ORANGE GROVE, TX 78372
Jim Wells County (361) 382-2024
VIVIAN CHRISTINE PALACIOS FNP, PMHNP
Nurse Practitioner (Family)
101 S EUGENIA ST
ORANGE GROVE, TX 78372
Jim Wells County (361) 382-2024

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 Sommer Ortiz's NPI number?

The NPI number for Sommer Ortiz is 1912623679. It was assigned to this individual provider in the NPPES registry on October 14, 2022.

Where is Sommer Ortiz located?

Sommer Ortiz practices at 101 S Eugenia St, Orange Grove, TX 78372. The listed phone number is (361) 382-2024.

What is Sommer Ortiz's specialty?

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

Is Sommer Ortiz enrolled in Medicare?

Yes. Sommer Ortiz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sommer Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sommer Ortiz reassigns Medicare benefits to 3 organizations: Hometown Healthcare LLC (Orange Grove, TX), Gulf Coast Emergency Physicians, PLLC (Alice, TX) and Ucp Physicians Of Central Texas, PLLC (Austin, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sommer Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sommer Ortiz accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Sommer Ortiz 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 Sommer Ortiz affiliated with any hospitals?

According to CMS data, Sommer Ortiz is affiliated with Christus Spohn Hospital Alice.

When was this NPI record last updated?

The NPPES record for Sommer Ortiz was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.