MRS. ERICA MARIE ORTIZ FNP-BC
NPI 1942947593
Nurse Practitioner - Family in Edinburg, TX

Active since May 16, 2022PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2603 MICHAELANGELO DR, EDINBURG, TX 78539(956) 362-8767(956) 362-2548 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2023, Nov 8, 2022, Sep 29, 2022 and 2 more (5 updates tracked since 2022).

About Mrs. Erica Marie Ortiz Fnp-bc NPPES

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

MRS. ERICA MARIE ORTIZ FNP-BC (NPI 1942947593) is an individual family provider in Edinburg, Texas, licensed in Texas (1072628) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and maintains a secondary practice location in Weslaco.

NPPES Registry Identity

NPI1942947593
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ERICA MARIE ORTIZCredential: FNP-BC
Location Address2603 MICHAELANGELO DREdinburg, TX 78539-1417
Mailing AddressPo Box 3989Mcallen, TX 78502-3989 · (956) 362-8767 · Fax (956) 362-2548
Fax(956) 362-2548
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 16, 2022
Last NPPES UpdateMarch 27, 20235 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
NPI 1942947593 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 · 1072628
2603 MICHAELANGELO DR, Edinburg, TX 78539

Secondary Practice Location 1

Location 1505 Angelita Dr Ste 14Weslaco, TX 78599-8694 · Phone (956) 362-3720 · Fax (956) 854-4557

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

Mrs. Erica Marie Ortiz Fnp-bc 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 ID9133504483
PECOS Enrollment IDI20220922001568
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.

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.
175 services113 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.
91 services91 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.26
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

Student in an Organized Health Care Education/Training Program
2603 MICHAELANGELO DR
EDINBURG, TX 78539
Nurse Practitioner (Family)
2603 MICHAELANGELO DR
EDINBURG, TX 78539
Physician Assistant
2603 MICHAELANGELO DR
EDINBURG, TX 78539
Urology
2603 MICHAELANGELO DR
EDINBURG, TX 78539
Nurse Practitioner (Acute Care)
2603 MICHAELANGELO DR
EDINBURG, TX 78539
Urology
2603 MICHAELANGELO DR
EDINBURG, TX 78539
Urology
2603 MICHAELANGELO DR
EDINBURG, TX 78539
Urology
2603 MICHAELANGELO DR
EDINBURG, TX 78539

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 Erica Ortiz's NPI number?

The NPI number for Erica Ortiz is 1942947593. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Erica Ortiz located?

Erica Ortiz practices at 2603 Michaelangelo Dr, Edinburg, TX 78539. The listed phone number is (956) 362-8767.

What is Erica Ortiz's specialty?

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

Is Erica Ortiz enrolled in Medicare?

Yes. Erica Ortiz 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 Erica 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 2 other insurers list Erica 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 Erica Ortiz affiliated with any hospitals?

According to CMS data, Erica Ortiz is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Erica Ortiz was last updated on March 27, 2023. 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.