MRS. ERICA MARIE ORTIZ FNP-BC
NPI 1942947593
Nurse Practitioner - Family in Edinburg, TX
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 Starr County Memorial Hospital, and maintains a secondary practice location in Weslaco.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Erica Ortiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edinburg, TX 78539
- Reassigned Medicare billing, Texas enrollment
- 19 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Starr County Memorial Hospital
Acute Care Hospitals · Rio Grande City, TXDoctors Hosptal At Renaissance
Acute Care Hospitals · Edinburg, TXPhysician 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.
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.
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.
EDINBURG, TX 78539
EDINBURG, TX 78539
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.
Which organization bills Medicare for Erica Ortiz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erica Ortiz reassigns Medicare benefits to Renaissance Surgery Group (Edinburg, TX). The 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 Erica Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 1 other insurer 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 Starr County Memorial Hospital and 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.
# Mrs. Erica Marie Ortiz, FNP-BC · NPI 1942947593
Family physician in Edinburg, Texas. Individual provider, active in the CMS NPPES registry since May 16, 2022.
## Identity
- **NPI:** 1942947593 (Entity type: Individual)
- **Enumerated:** May 16, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1072628 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2603 MICHAELANGELO DR, Edinburg, TX 78539-1417
- **Phone:** (956) 362-8767 · **Fax:** (956) 362-2548
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Renaissance Surgery Group (NPI 1215289129, Edinburg, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1942947593) · Data from the CMS NPPES public registry.