Individual provider Active NPI

Bernadette Vela

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1033510847
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126180 Issued in TX
Practice address
2606 Hospital Blvd Ste F
Corpus Christi, TX 78405-1804
Phone
(361) 902-6100
NPI assigned
Sep 11, 2014
Last updated
Apr 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP126180 TX Primary

Addresses

Primary practice location

2606 Hospital Blvd Ste F
Corpus Christi, TX 78405-1804

Mailing address

919 Hidden RDG
Irving, TX 75038-3813
Phone (469) 282-2711

Other practice location 1

3817 S Padre Island Dr
Corpus Christi, TX 78415-2913
Phone (361) 857-0178

Other identifiers 4

IdentifierTypeStateIssuer
345535401MedicaidTX
345535403MedicaidTX
1L5537OtherTXMEDICARE
P02601822OtherTXMCRR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150312000275 TX Practitioner - Nurse Practitioner 8022334994 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

2606 Hospital Blvd
Corpus Christi, TX 78405-1804

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2021 Accepting new patients
C H Wilkinson Physician Network CurrentSince Feb 2, 2015 Accepting new patients
Texas Coastal Bend Pulmonary & Critical Care Associates PLLC CurrentSince Oct 1, 2019 Accepting new patients
C H Wilkinson Physician Network CurrentSince Feb 2, 2015 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2021 Accepting new patients
Christus Health Ark-la-Tex Past Accepting new patients

Locations

2606 Hospital Blvd
Ste F
Corpus Christi, TX 78405
Phone (361) 902-6100

3817 Spid Dr
Corpus Christi, TX 78415
Phone (361) 334-2035

6102 Parkway Dr
Ste 106
Corpus Christi, TX 78414
Phone (361) 205-1024

919 Hidden Rdg
Irving, TX 75038

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: bvela249328@christushealth.direct-ci.net
  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIJIBD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1033510847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HIDDEN RDG",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383813",
            "telephone_number": "469-282-2711",
            "fax_number": "469-282-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 HOSPITAL BLVD STE F",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051804",
            "telephone_number": "361-902-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3817 S Padre Island Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784152913",
            "country_code": "US",
            "telephone_number": "361-857-0178",
            "fax_number": "361-855-4123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELA",
        "first_name": "BERNADETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345535401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345535403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1L5537",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P02601822",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.