COLTON PLACKER – Family Nurse Practitioner, NPI 1013586908

COLTON PLACKER is a healthcare provider. based in Livingston, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1045649 (TX). The NPI Number for COLTON PLACKER is 1013586908

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
COLTON PLACKER
NPI
1013586908
Phone
Not provided
Address
296 JR PHILLIPS RD
Enumeration Date
23 June 2021
Last Update Date
23 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7139487000
Graduation Year
2021 (5 years ago)
PAC ID
9133516586
Group Practice PAC ID
7113258500
Professional Enrollment ID
I20220503002697
Address ID
TX775053959PA4500XSXXX602
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for COLTON PLACKER

  • 296 JR PHILLIPS RD

    LIVINGSTON, TX 773512439

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220503002697INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making7068$0
99285Emergency department visit with high level of medical decision making5757$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1717$0
View full utilization report →

Insurance plans in this area (ZIP 77351)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113258500View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Emergency Medicine, Family PracticeLA
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineOK
Family PracticeWI
Emergency MedicineTX

Reviews

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Frequently asked questions

Can I use this page to confirm COLTON PLACKER's NPI?
Yes. COLTON PLACKER is listed with NPI 1013586908 in the public NPI dataset.
Can I rely on COLTON PLACKER being an active provider?
As of the registry snapshot, COLTON PLACKER is marked active.
What is COLTON PLACKER's specialty?
The listing groups COLTON PLACKER with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is COLTON PLACKER based?
COLTON PLACKER is tied to Livingston, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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