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Destiny Leigh Irwin , FNP-C

Nurse Practitioner β€’ Waco, TX

Active NPI 1174461370 Individual Practitioner Female Practitioner
Practice location in NPPES

6901 Medical Pkwy
Waco, TX 767127910

Call 2547514100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6901 Medical Pkwy

Waco, TX 767127910

Telephone 2547514100
Organization at the Same NPPES Address or Phone
Ascension Providence Facility NPI 1093708679

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Destiny Irwin has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Destiny Irwin as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Waco and Texas

34 active clinicians are listed under Nurse Practitioner with a practice address in Waco, TX (4,916 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Waco

8.8% of these 34 clinicians have the CMS telehealth indicator.

61.8% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES TX 1245426

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20260903002109

Enrollment State Jurisdiction

TX

PECOS Control ID

2860952330

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

32 listed
Eidel Adams

Nurse Practitioner - Family

NPI 1003666918
Shawn Armstrong , RN, MSN, ACNP-BC

Nurse Practitioner - Acute Care

NPI 1528376480

Registered Nurse, Master of Science in Nursing, ACNPBC

Dr. Ian Ashley , MD

Emergency Medicine

NPI 1699798447

Doctor of Medicine (M.D.)

Joseph Augeri , CRNA

Nurse Anesthetist, Certified Registered

NPI 1124122262

Certified Registered Nurse Anesthetist

Dr. John Bambeck , MD

Emergency Medicine

NPI 1306403563

Doctor of Medicine (M.D.)

Dr. John Biboa , DO

Internal Medicine

NPI 1083990584

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 30, 2026

Registered at 6901 MEDICAL PKWY, WACO, TX 767127910 (Tel: 2547514100)

πŸ“
Updated Business Mailing Address August 30, 2026

Registered at 6901 MEDICAL PKWY, WACO, TX 767127910

πŸ‘€
Provider Name / Credentials Updated August 30, 2026

Recorded as DESTINY IRWIN, FNP-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2026

Nurse Practitioner (license number reported to NPPES: TX 1245426)

βœ…
NPI Profile Active March 23, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 23, 2026

Registered at 1507 W MAIN ST, GATESVILLE, TX 765281024 (Tel: 2548658251)

πŸ“
Business Mailing Address (Initial Record) March 23, 2026

Registered at 4008 EAGLES ROOST DR, SALADO, TX 765716555 (Tel: 2547219442)

πŸ‘€
Provider Name / Credentials (Initial Record) March 23, 2026

Recorded as DESTINY IRWIN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2026

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: TX 985346)

🟒
Initial NPI Registration & Enumeration March 23, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174461370
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2026
Last Update: August 30, 2026
Sole Proprietor: No

Other Nurse Practitioners in Waco

All Nurse Practitioners in Waco

Mailing Address

6901 Medical Pkwy

Waco, TX 767127910

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.