Brazos Valley Community Action Agency, Inc. - Medicare Primary Care in College Station, TX

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Brazos Valley Community Action Agency, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in College Station, Texas. The current practice location for Brazos Valley Community Action Agency, Inc. is 1500 University Dr E, #100, College Station, Texas. For appointments, you can reach them via phone at (979) 846-1100. The mailing address for Brazos Valley Community Action Agency, Inc. is 1500 University Dr E, College Station, Texas and phone number is (979) 810-8148.

Brazos Valley Community Action Agency, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1821185299. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (979) 846-1100.

Contact Information

Brazos Valley Community Action Agency, Inc.
1500 University Dr E
#100
College Station
TX 77840-2600
(979) 846-1100
(979) 260-9390

Map and Direction


Primary Care Clinic Profile

Full NameBrazos Valley Community Action Agency, Inc.
SpecialityClinic/Center
Location1500 University Dr E, College Station, Texas
Authorized Official Name and PositionAmanda Kirkland (DIRECTOR OF CREDENTIALING)
Authorized Official Contact9795965852
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brazos Valley Community Action Agency, Inc.
1500 University Dr E
College Station
TX 77840-2600

Ph: (979) 810-8148		Brazos Valley Community Action Agency, Inc.
1500 University Dr E
#100
College Station
TX 77840-2600

Ph: (979) 846-1100

NPI Details:

NPI Number1821185299
Provider Enumeration Date10/06/2006
Last Update Date02/19/2025

Medicare PECOS Information:

Medicare PECOS PAC ID4284542127
Medicare Enrollment IDO20040708001095

Medical Identifiers

Medical identifiers for Brazos Valley Community Action Agency, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821185299NPI-NPPES
1568519122OtherTXNPI L
1700973187OtherTXNPI G
187842302MedicaidTX
000951607MedicaidTX
1750470084OtherTXNPI M
1912056730OtherTXNPI PHARM
1275726853OtherTXNPI CS
187842301MedicaidTX
21721320MedicaidTX
1275620551OtherTXNPI ROBERTSON CHC
154467801MedicaidTX
154467803MedicaidTX
1649265646OtherTXNPI BCS
1407163660OtherTXROCK PRAIRIE FAMILY MEDICINE AND OBSTETRICS-NPI
185649401MedicaidTX
000951608MedicaidTX
1043527476OtherTXCOLLEGE STATION FAMILY MEDICINE CLINIC - NPI
1811171580OtherTXNPI MEDICAID GROUP OB BILLING

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Brazos Valley Community Action Agency, Inc. acts as a billing entity for following providers:
Provider NamePramoda Kumar Mohapatra
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447237243
PECOS PAC ID: 6901790195
Enrollment ID: I20040210000069
Provider NameAdil Noshir Nicolwala
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922060391
PECOS PAC ID: 8628039484
Enrollment ID: I20041025000627
Provider NameLara C Thibodeaux
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902894595
PECOS PAC ID: 4789648825
Enrollment ID: I20041117001019
Provider NameMaryann Miyun Choi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982673083
PECOS PAC ID: 1557272416
Enrollment ID: I20050602000701
Provider NameChanseya Davis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578593810
PECOS PAC ID: 6507862273
Enrollment ID: I20061020000159
Provider NameRyan K Walter
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1144311507
PECOS PAC ID: 2062414642
Enrollment ID: I20070212000081
Provider NameKristel D. Leubner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316069982
PECOS PAC ID: 4486754652
Enrollment ID: I20070717000609
Provider NameAmol Deshpande
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1922140615
PECOS PAC ID: 1355470089
Enrollment ID: I20100518000834
Provider NameRoland Robert Garza
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275530768
PECOS PAC ID: 8426224775
Enrollment ID: I20120109000236
Provider NameRebekah Solis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225308133
PECOS PAC ID: 7315186731
Enrollment ID: I20130615000114
Provider NameLea Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164771259
PECOS PAC ID: 3678703220
Enrollment ID: I20140228000035
Provider NameKarla A Woods
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699179275
PECOS PAC ID: 7315269669
Enrollment ID: I20141124000734
Provider NameBritni Lehde
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417328261
PECOS PAC ID: 2668773417
Enrollment ID: I20151221000715
Provider NameYolanda Sahagun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437501210
PECOS PAC ID: 4688958556
Enrollment ID: I20170222000293
Provider NameBrandi M Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093242208
PECOS PAC ID: 1557627288
Enrollment ID: I20171113001076
Provider NameIsaiah R Logan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215318696
PECOS PAC ID: 0042557027
Enrollment ID: I20190129002791
Provider NameCathrine Odim-eluebo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750628020
PECOS PAC ID: 1355528472
Enrollment ID: I20190503001438
Provider NameTammy Lynn Bradford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801237771
PECOS PAC ID: 2567790140
Enrollment ID: I20190820003469
Provider NameKimberly S Mcbride
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841845427
PECOS PAC ID: 0648509372
Enrollment ID: I20190905002773
Provider NameFaridy Mombeleur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245790914
PECOS PAC ID: 5991881070
Enrollment ID: I20190911000175
Provider NameJordan William Conway
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497296610
PECOS PAC ID: 9133541469
Enrollment ID: I20200615003255
Provider NameApril Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659973493
PECOS PAC ID: 7012328271
Enrollment ID: I20201119003388
Provider NameBlake K Mcdaniel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750973681
PECOS PAC ID: 5294137220
Enrollment ID: I20210713001686
Provider NameKatelyn Jo Light
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477189355
PECOS PAC ID: 7315369881
Enrollment ID: I20220523000775
Provider NameClayton Thomas Kruger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003376591
PECOS PAC ID: 0446622161
Enrollment ID: I20230613000626
Provider NameLeslie Marice De Los Santos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316406218
PECOS PAC ID: 8325479975
Enrollment ID: I20230629004169
Provider NameJerry Don Lloyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225103773
PECOS PAC ID: 9830269018
Enrollment ID: I20230711000154
Provider NameKayla Ash Sheffield
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336888783
PECOS PAC ID: 8022472695
Enrollment ID: I20230914003148
Provider NameShelly Dawn Hitchcock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386364859
PECOS PAC ID: 6204279946
Enrollment ID: I20240208004573
Provider NameMichele Lynn Armstrong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043070246
PECOS PAC ID: 5698113777
Enrollment ID: I20240801004437
Provider NameDarhonda M Swallow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992575534
PECOS PAC ID: 8426595893
Enrollment ID: I20240802001076
Provider NameWendy Treat Lusk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659129674
PECOS PAC ID: 9537606785
Enrollment ID: I20240806000078
Provider NameTracy Ayers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194458836
PECOS PAC ID: 4385829761
Enrollment ID: I20240808000353
Provider NameSheena R Alegun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215464599
PECOS PAC ID: 8123435914
Enrollment ID: I20240808001474
Provider NameTheresa Fusaro
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1689335895
PECOS PAC ID: 0749728350
Enrollment ID: I20240814001988
Provider NameMichael J Burrows
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952063299
PECOS PAC ID: 0345600169
Enrollment ID: I20240819000214
Provider NameDonna S Ohde
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003373838
PECOS PAC ID: 1153653860
Enrollment ID: I20240819000533
Provider NameKatherine Ahlstrom
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1467180497
PECOS PAC ID: 2264970326
Enrollment ID: I20240820003260
Provider NameAshley Shanise Richardson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841902533
PECOS PAC ID: 6103282173
Enrollment ID: I20240820004133
Provider NameSierra Rogers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457076010
PECOS PAC ID: 8022465376
Enrollment ID: I20240821000152
Provider NameBrenda Clarke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164858767
PECOS PAC ID: 8123255056
Enrollment ID: I20240821004639
Provider NameAlexander Richard Hunt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588240352
PECOS PAC ID: 9133668890
Enrollment ID: I20240826002034
Provider NameKimberly M Buenger
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568458321
PECOS PAC ID: 1658543707
Enrollment ID: I20240827004299
Provider NameVeena Anand
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1104812965
PECOS PAC ID: 4587834395
Enrollment ID: I20240830003131
Provider NameCrystal James Mable
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508409533
PECOS PAC ID: 3678014925
Enrollment ID: I20240926001172
Provider NameMichael J Bates
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1073673752
PECOS PAC ID: 9931413465
Enrollment ID: I20241007001847
Provider NameStacy Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508338856
PECOS PAC ID: 1557894334
Enrollment ID: I20241031003632
Provider NameDaniel Edward Decker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073025771
PECOS PAC ID: 0840725263
Enrollment ID: I20241121004668
Provider NameNyasha Manyame
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609556992
PECOS PAC ID: 4587018999
Enrollment ID: I20241215000071
Provider NameSuzanne E Fox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831589977
PECOS PAC ID: 0547657520
Enrollment ID: I20250114002897

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.