Individual provider Active NPI

Donnelle Cuellar, FNP-C

  • Family Nurse Practitioner
  • Midlothian, TX
National Provider Identifier
1053860882
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131215 Issued in TX
Practice address
1441 S Midlothian Pkwy Ste 100
Midlothian, TX 76065-5592
Phone
(469) 800-9600
NPI assigned
Sep 21, 2016
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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 AP131215 TX Primary

Addresses

Primary practice location

1441 S Midlothian Pkwy Ste 100
Midlothian, TX 76065-5592

Mailing address

1441 S Midlothian Pkwy Ste 100
Midlothian, TX 76065-5592
Phone (469) 800-9600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcuellar257076@direct.sw.org

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
I20161202001188 TX Practitioner - Nurse Practitioner 8820378144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1441 S Midlothian Pkwy
100 Baylor Scott and White
Midlothian, TX 76065-5591
Phone (469) 800-9600

1441 S Midlothian Pkwy
Suite 100a
Midlothian, TX 76065-5597
Phone (469) 800-9440

4001 Worth St
Dallas, TX 75246-1608

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP131215TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Mar 1, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Mar 1, 2019 Accepting new patients
Healthtexas Provider Network Current Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648

700 Walter Reed Blvd
Ste 203
Garland, TX 75042
Phone (972) 426-9900

1441 S Midlothian Pkwy
Ste 100
Midlothian, TX 76065
Phone (469) 800-9600

1441 S Midlothian Pkwy
Ste 100A
Midlothian, TX 76065
Phone (469) 800-9440

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: dcuellar257076@direct.sw.org

Organizations & group practices 3

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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1053860882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 S MIDLOTHIAN PKWY STE 100",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655592",
            "telephone_number": "469-800-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 S MIDLOTHIAN PKWY STE 100",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655592",
            "telephone_number": "469-800-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUELLAR",
        "first_name": "DONNELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcuellar257076@direct.sw.org",
            "affiliation": "N",
            "address_1": "1441 S Midlothian Pkwy Ste 100",
            "city": "Midlothian",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760655592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

Verify at the official NPI Registry.