ADVANCED PEDIATRIC CARE, INC. – Home Health Agency, NPI 1811943467

ADVANCED PEDIATRIC CARE, INC. is a healthcare provider. based in Beaumont, Texas. specializing in Home Health Agency. The organization holds a License No. 007953 (TX). The NPI Number for ADVANCED PEDIATRIC CARE, INC. is 1811943467

Main info

Organization
Name
ADVANCED PEDIATRIC CARE, INC.
NPI
1811943467
Phone
(409) 832-3304
Address
3330 FANNIN ST
Authorized Official
MS. DIANE SHAFFER BASS X PRESIDENT M.S.
Enumeration Date
25 May 2006
Last Update Date
15 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ADVANCED PEDIATRIC CARE, INC.

  • 3330 FANNIN ST

    BEAUMONT, TX 777013801

    Phone: (409) 832-3304

    Fax: (409) 835-2799

    Type: Mailing

  • 3330, Fannin Street, Beaumont, Jefferson County, Texas, 77701, United States

    BEAUMONT, TX 777013801

    Phone: (409) 832-3304

    Fax: (409) 835-2799

    Type: Location

  • Beaumont Post Office, 1025, Majestic Drive, Beaumont, Lexington, Fayette County, Kentucky, 40513, United States

    BEAUMONT, TX 777267590

    Phone: (409) 832-3304

    Fax: (409) 835-2799

    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: 2012-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (827 days ago).

Enrollment records

1

Earliest due date

2024-02-29

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
O20120309000539OHome Health AgencyTX2024-02-29

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 77701)

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Reviews

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Frequently asked questions

What federal number belongs to ADVANCED PEDIATRIC CARE, INC.?
The federal identifier for ADVANCED PEDIATRIC CARE, INC. is NPI 1811943467.
Is ADVANCED PEDIATRIC CARE, INC.'s NPI currently valid?
The extract we use shows ADVANCED PEDIATRIC CARE, INC. as active.
Can you summarize ADVANCED PEDIATRIC CARE, INC.'s specialty in plain language?
Clinically, the directory lists ADVANCED PEDIATRIC CARE, INC. with Home Health Agency. Clinical services aligned with this taxonomy classification.
What location shows for ADVANCED PEDIATRIC CARE, INC.?
We surface Beaumont, Texas for ADVANCED PEDIATRIC CARE, INC. based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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