CLAIRE NICOLE NESMITH FNP-C
NPI 1932609799
Nurse Practitioner - Family in Bellaire, TX

Active since February 19, 2018PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
5420 WEST LOOP S STE 2400, BELLAIRE, TX 77401(713) 486-1624 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2022, Mar 17, 2018, Feb 19, 2018 (3 updates tracked since 2018).

About Claire Nicole Nesmith Fnp-c NPPES

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

CLAIRE NICOLE NESMITH FNP-C (NPI 1932609799) is an individual family provider in Bellaire, Texas, licensed in Texas (AP136619) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1932609799
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCLAIRE NICOLE NESMITHCredential: FNP-C
Location Address5420 WEST LOOP S STE 2400Bellaire, TX 77401-2118
Mailing Address6400 Fannin St Ste 1700Houston, TX 77030-1526 · (713) 486-1624
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 19, 2018
Last NPPES UpdateJuly 25, 20223 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
NPI 1932609799 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 · AP136619
5420 WEST LOOP S STE 2400, Bellaire, TX 77401

Accepted 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

Claire Nicole Nesmith 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 ID2062777014
PECOS Enrollment IDI20180523000598
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 5

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
97 services58 patients
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.
91 services70 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
44 services30 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.
38 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450848
Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77401 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier16 claims16 services$198.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Orthopaedic Surgery (Hand Surgery)
5420 WEST LOOP S STE 2400
BELLAIRE, TX 77401
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
5420 WEST LOOP S STE 2400
BELLAIRE, TX 77401
Physician Assistant
5420 WEST LOOP S STE 2400
BELLAIRE, TX 77401
Orthopaedic Surgery
5420 WEST LOOP S STE 2400
BELLAIRE, TX 77401
Physician Assistant
5420 WEST LOOP S STE 2400
BELLAIRE, TX 77401
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
5420 WEST LOOP S STE 2400
BELLAIRE, TX 77401
Orthopaedic Surgery (Foot and Ankle Surgery)
5420 WEST LOOP S STE 2400
BELLAIRE, TX 77401
Orthopaedic Surgery
5420 WEST LOOP S STE 2400
BELLAIRE, TX 77401

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 Claire Nesmith's NPI number?

The NPI number for Claire Nesmith is 1932609799. It was assigned to this individual provider in the NPPES registry on February 19, 2018.

Where is Claire Nesmith located?

Claire Nesmith practices at 5420 West Loop S Ste 2400, Bellaire, TX 77401. The listed phone number is (713) 486-1624.

What is Claire Nesmith's specialty?

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

Is Claire Nesmith enrolled in Medicare?

Yes. Claire Nesmith 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 Claire Nesmith accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Claire Nesmith 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 Claire Nesmith affiliated with any hospitals?

According to CMS data, Claire Nesmith is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Memorial City Hospital and Memorial Hermann Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Claire Nesmith was last updated on July 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.