PAULINE DIANE IRISH – Family Nurse Practitioner, NPI 1174392195

PAULINE DIANE IRISH is a healthcare provider. based in Rockport, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1143899 (TX). The NPI Number for PAULINE DIANE IRISH is 1174392195

Main info

Female
Sole Proprietor
1 Year Of Experience
Name
PAULINE DIANE IRISH
NPI
1174392195
Phone
(361) 343-1189
Address
2102 FM 2165
Enumeration Date
2 January 2024
Last Update Date
11 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3615160800
Graduation Year
2025 (1 year ago)
PAC ID
6800233008
Group Practice PAC ID
5991926032
Professional Enrollment ID
I20240323000530
Address ID
TX783636322KI500XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for PAULINE DIANE IRISH

  • 2102 FM 2165

    ROCKPORT, TX 783824345

    Phone: (361) 343-1189

    Type: Location

  • 102 OAKTREE ST

    ROCKPORT, TX 783826852

    Phone: (361) 343-1189

    Type: Mailing

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: 2025-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240323000530INurse PractitionerTXTBD
I20250808003069INurse PractitionerLATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78382)

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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: 5991926032View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Where can patients find PAULINE DIANE IRISH's NPI?
You can confirm PAULINE DIANE IRISH with NPI 1174392195; it appears in the national provider directory.
Is PAULINE DIANE IRISH currently active in the NPI registry?
CMS-published data lists PAULINE DIANE IRISH as an active registrant.
Can you summarize PAULINE DIANE IRISH's specialty in plain language?
Clinically, the directory lists PAULINE DIANE IRISH with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for PAULINE DIANE IRISH?
We surface Rockport, Texas for PAULINE DIANE IRISH based on available NPPES addresses.
What if Rockport, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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