MRS. DEANDREA DACOSTA (FNP) – Family Nurse Practitioner, NPI 1972770469

MRS. DEANDREA DACOSTA (FNP) is a healthcare provider. based in Cibolo, Texas. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 617345 (TX). The NPI Number for MRS. DEANDREA DACOSTA (FNP) is 1972770469

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DEANDREA DACOSTA (FNP)
NPI
1972770469
Phone
Not provided
Address
581 SECRETARIAT DR
Enumeration Date
13 May 2008
Last Update Date
18 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8507630017
Graduation Year
2008 (18 years ago)
PAC ID
8820169238
Group Practice PAC ID
9638354889
Professional Enrollment ID
I20120106000555
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for MRS. DEANDREA DACOSTA (FNP)

  • 581 SECRETARIAT DR

    CIBOLO, TX 781082325

    Phone:

    Type: Mailing

  • 18514 SONTERRA PL

    SAN ANTONIO, TX 782584263

    Phone: (210) 545-4800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-12-13 • Largest payer in this snapshot: IBSA Pharma Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
IBSA Pharma Inc.$20
View all Open Payments →|Open Payments Risk Radar →

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: 2012-01-06

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
I20120106000555INurse PractitionerFLTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 78108)

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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: 9638354889View full group profile
NameSpecialtyState
Nurse PractitionerNC
-FL
Nurse PractitionerFL
-SC
-GA
P S Y C H I A T R YFL
Physician AssistantNC
Nurse PractitionerFL
-FL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

Is there an official ID for MRS. DEANDREA DACOSTA (FNP) in U.S. healthcare records?
The official identifier for MRS. DEANDREA DACOSTA (FNP) is NPI 1972770469.
Is MRS. DEANDREA DACOSTA (FNP) shown as active in public data?
Registry records indicate MRS. DEANDREA DACOSTA (FNP) maintains an active NPI.
How would a patient describe MRS. DEANDREA DACOSTA (FNP)'s focus?
For MRS. DEANDREA DACOSTA (FNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is MRS. DEANDREA DACOSTA (FNP) registered?
Use Cibolo, Texas as the headline location for MRS. DEANDREA DACOSTA (FNP) here.
Can I trust this NPI listing for MRS. DEANDREA DACOSTA (FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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