Kelly Renee Pacheco, FNP-BC
NPI 1548793284ActiveIndividual· Nurse Practitioner, Family· Bandera, TX
Nurse Practitioner, Family (FNP-BC) in Bandera, Texas, licensed in AZ, TX and MS, with an NPI issued in April 2017.
Overview
| NPI | 1548793284 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | Yes |
| NPI issued | Apr 10, 2017 |
| Last updated in NPPES | Oct 6, 2022 |
| Certified by provider | Oct 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 255690 | AZ |
| Registered Nurse | 163W00000X | 805693 | TX |
| Nurse Practitioner, Family | 363LF0000X | AP144798 | TX |
| Nurse Practitioner, Family | 363LF0000X | 903937 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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