Rafael Ponce
- Gender: Male
- Experience: 2 years
- Graduation year: 2019
- Sole propriator: No
- NPI: 1215585484
Rafael Ponce MSN, APRN, FNP-C
Family Nurse Practitioner
He is located at 101 Rim Road in El Paso, TX 79902. Can help patients with the following: Allergies, Arthritis, Gynecological Exam, Headache, Influenza, Migraine. His National Provider Identifier (NPI) number is 1215585484. Appointment can be made via the phone number (915) 594-5925.
Conditions treated
Rafael Ponce, being an family nurse practitioner, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Rafael Ponce.
- Acne
- Allergies
- Anxiety
- Arthritis
- Asthma
- Attention-Deficit/Hyperactivity Disorder (ADHD)
- Child or Adolescent
- Common Cold
- Depression
- Diabetes
- Fever
- General Care
- Gynecological Exam
- Headache
- High Cholesterol
- Hypertension
- Influenza
- Insomnia
- Migraine
- Nausea and Vomiting
- Obesity
- Prescription Refill
- Sexually Transmitted Diseases (STDs)
- Weight Loss
- Women's Health
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Rafael Ponce as in-network for the following 2026 plans.
Health plans
Ambetter from Superior HealthPlan
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 12 plans from Ambetter from Superior HealthPlan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Complete Gold | EPO · Gold | Preferred | Accepting new patients |
| Complete Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Enhanced Diabetes Care Silver with $0 Drug Options | EPO · Silver | Preferred | Accepting new patients |
| Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
| Everyday Gold | EPO · Gold | Preferred | Accepting new patients |
| Everyday Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Focused Silver | EPO · Silver | Preferred | Accepting new patients |
| Focused Silver + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
| Standard Gold | EPO · Gold | Preferred | Accepting new patients |
| Standard Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Standard Silver | EPO · Silver | Preferred | Accepting new patients |
| Standard Silver + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
Ambetter from Superior HealthPlan
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 6 plans from Ambetter from Superior HealthPlan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Complete VALUE Gold (3 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Focused VALUE Silver (3 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Focused VALUE Silver + Vision + Adult Dental (3 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Standard Gold VALUE (3 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Standard Silver VALUE (3 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Standard Silver VALUE + Vision + Adult Dental (3 plan variants) | HMO · Silver | Preferred | Accepting new patients |
Blue Cross and Blue Shield of Texas
Network data as of Jun 7, 2026, as reported by the insurer.
Show all 19 plans from Blue Cross and Blue Shield of Texas
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Blue Advantage Bronze HMO℠ 204 (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ 301 (14 plan variants) | HMO · Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ Standard (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ 206 (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ 603 (14 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ Standard (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ 303 (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ 305 (27 plan variants) | POS · Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ Standard (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ 203 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ 803 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ Standard (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ 202 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ 605 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ Standard (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Security HMO℠ 200 (27 plan variants) | HMO · Catastrophic | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ 205 (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ 801 (14 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ Standard (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
Cigna Healthcare
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 22 plans from Cigna Healthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Connect Bronze 5750 Indiv Med Deductible | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze 8500 Indiv Med Deductible | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze CMS Standard | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze DFW 6000 Indiv Med Deductible | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze DFW 8500 Indiv Med Deductible | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze DFW CMS Standard | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Gold 1400 Indiv Med Deductible | HMO · Gold | Preferred | Accepting new patients |
| Connect Gold 3000 Indiv Med Deductible | HMO · Gold | Preferred | Accepting new patients |
| Connect Gold CMS Standard | HMO · Gold | Preferred | Accepting new patients |
| Connect Gold DFW 1400 Indiv Med Deductible | HMO · Gold | Preferred | Accepting new patients |
| Connect Gold DFW 2800 Indiv Med Deductible | HMO · Gold | Preferred | Accepting new patients |
| Connect Gold DFW CMS Standard | HMO · Gold | Preferred | Accepting new patients |
| Connect myDiabetesCare Bronze | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Connect myDiabetesCare Bronze DFW | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Connect myDiabetesCare Gold | HMO · Gold | Preferred | Accepting new patients |
| Connect myDiabetesCare Gold DFW | HMO · Gold | Preferred | Accepting new patients |
| Connect Silver 3000 Indiv Med Deductible | HMO · Silver | Preferred | Accepting new patients |
| Connect Silver 4000 Indiv Med Deductible | HMO · Silver | Preferred | Accepting new patients |
| Connect Silver CMS Standard | HMO · Silver | Preferred | Accepting new patients |
| Connect Silver DFW 3000 Indiv Med Deductible | HMO · Silver | Preferred | Accepting new patients |
| Connect Silver DFW 4000 Indiv Med Deductible | HMO · Silver | Preferred | Accepting new patients |
| Connect Silver DFW CMS Standard | HMO · Silver | Preferred | Accepting new patients |
Harbor Health
Network data as of Sep 14, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Harbor Health G0 $0 Deductible $0 PCP $0 Mental Health Office Visit $0 Express Care | HMO · Gold | Preferred | Accepting new patients |
| Harbor Health G1S $30 PCP $30 Mental Health Office Visit $30 Express Care | HMO · Gold | Preferred | Accepting new patients |
| Harbor Health S1 $0 PCP $0 Mental Health Office Visit $0 Express Care | HMO · Silver | Preferred | Accepting new patients |
| Harbor Health S1S $40 PCP $40 Mental Health Office Visit $40 Express Care | HMO · Silver | Preferred | Accepting new patients |
Oscar Insurance Company
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 11 plans from Oscar Insurance Company
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Gold Classic Guided Care (8 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Gold Classic Standard Guided Care (8 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Gold Simple Diabetes Guided Care (8 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Gold Simple Guided Care (8 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Silver Classic Standard Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Breathe Easy with Enhanced COPD Benefits Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Chronic Care CKM Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Diabetes Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple PCP Saver Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Women's Health with Menopause Benefits Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Rafael Ponce is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Rafael Ponce is enrolled to bill Medicare as a Practitioner - Nurse Practitioner .
Bills through: Texas Tech University Health Sciences Center El Paso
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Studies
Graduated in 2019Additional Specialities
- Nurse Practitioner
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Questions & Answers
Does Rafael Ponce accept insurance?
Rafael Ponce is listed in-network for 74 ACA Marketplace (Obamacare/HealthCare.gov) plans from Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Harbor Health, Oscar Insurance Company. See the Marketplace plans section for details.
What conditions does Rafael Ponce treat?
Rafael Ponce provides treatment for Allergies, Arthritis, Gynecological Exam, Headache, Influenza, Migraine. For the full list see this list.
Where can you meet with Rafael Ponce?
Rafael Ponce's office is located at 101 Rim Road in El Paso, TX 79902.