Individual provider Active NPI

Criselda Molina

  • Family Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1073109617
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1021020 Issued in TX
Practice address
502 S Closner Blvd
Edinburg, TX 78539-4660
Phone
(956) 292-0100
Fax
(956) 383-1906
NPI assigned
Dec 17, 2020
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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 1021020 TX Primary

Addresses

Primary practice location

502 S Closner Blvd
Edinburg, TX 78539-4660

Mailing address

502 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 292-0100

Other practice location 1

1200 E Savannah Ave Ste 19
McAllen, TX 78503-1728
Phone (956) 928-1909

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
I20210818001050 TX Practitioner - Nurse Practitioner 9931504602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitality Family Medical Group PLLCGroup PAC ID 7618316142, 3 clinicians

Practice addresses (Care Compare)

100 Pecan Blvd
McAllen, TX 78501-9557
Phone (806) 777-5641

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Family Medical Group PLLC CurrentSince Feb 24, 2024 Accepting new patients

Locations

100 Pecan Blvd
McAllen, TX 78501
Phone (806) 777-5641

Interoperability endpoints

  • Direct secure messaging: criselda.molina@415054778073092.direct.elationemr.com
  • Direct secure messaging: criselda.molina@yazjimd.directbygreenway.com

Organizations & group practices 1

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 2

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": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1073109617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394660",
            "telephone_number": "956-292-0100",
            "fax_number": "956-383-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394660",
            "telephone_number": "956-292-0100",
            "fax_number": "956-383-1906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Savannah Ave Ste 19",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785031728",
            "country_code": "US",
            "telephone_number": "956-928-1909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "CRISELDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1021020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.