Individual provider Active NPI

Grecia Mariel Benavides Chapa, NP

  • Family Nurse Practitioner
  • Mission, TX
National Provider Identifier
1033736533
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP146039 Issued in TX
Practice address
611 N Bryan Rd
Mission, TX 78572-6285
Phone
(956) 580-3303
Fax
(956) 580-1505
NPI assigned
Jun 30, 2020
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 34302 TX
Family Nurse Practitioner 363LF0000X AP146039 TX Primary

Addresses

Primary practice location

611 N Bryan Rd
Mission, TX 78572-6285

Mailing address

801 W 1St St
San Juan, TX 78589-2276
Phone (956) 787-8915

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
I20210325001976 TX Practitioner - Nurse Practitioner 1456768100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuestra Clinica del Valle, Inc.Group PAC ID 8921916552, 28 clinicians

Practice addresses (Care Compare)

611 N Bryan Rd
Mission, TX 78572-6285
Phone (956) 580-3303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34302TXMDClinical Psychologist
AP146039TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nuestra Clinica del Valle, Inc. CurrentSince Mar 22, 2021 Accepting new patients
Nuestra Clinica del Valle, Inc. CurrentSince Mar 22, 2021 Accepting new patients
Nuestra Clinica del Valle Inc Past Accepting new patients
Nuestra Clinica del Valle, Inc. Past Accepting new patients

Locations

1500 W 1st St
Mercedes, TX 78570
Phone (956) 565-3191

611 N Bryan Rd
Mission, TX 78572
Phone (956) 580-3303

801 W 1st St
San Juan, TX 78589
Phone (956) 787-0787

Interoperability endpoints

  • Direct secure messaging: grecia.benavideschapa@ncdv.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1033736533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 1ST ST",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892276",
            "telephone_number": "956-787-8915",
            "fax_number": "956-787-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726285",
            "telephone_number": "956-580-3303",
            "fax_number": "956-580-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES CHAPA",
        "first_name": "GRECIA",
        "middle_name": "MARIEL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "34302",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP146039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.