Individual provider Active NPI

Joe Louis Vasquez Jr., A-GNP-C

  • Nurse Practitioner
  • Bay City, TX
National Provider Identifier
1073991485
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP127689 Issued in TX
Practice address
3317 Avenue F
Bay City, TX 77414-7107
Phone
(979) 323-9752
NPI assigned
May 18, 2015
Last updated
Oct 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP127689 TX Primary
Adult Health Nurse Practitioner 363LA2200X AP127689 TX
Gerontology Nurse Practitioner 363LG0600X AP127689 TX

Addresses

Primary practice location

3317 Avenue F
Bay City, TX 77414-7107

Mailing address

2205 Avenue K
Bay City, TX 77414-5128
Phone (979) 323-9752

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
I20150713001331 TX Practitioner - Nurse Practitioner 7719290204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Healthcare Services, PLLCGroup PAC ID 4789099029, 2 clinicians

Practice addresses (Care Compare)

190 Abner Jackson Pkwy
Suite 200
Lake Jackson, TX 77566-5171
Phone (979) 529-2520

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP127689TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Healthcare Services, PLLC CurrentSince Nov 19, 2025 Accepting new patients

Locations

190 Abner Jackson Pkwy
Ste 200
Lake Jackson, TX 77566
Phone (979) 529-2500

Interoperability endpoints

  • Direct secure messaging: joe.vasquez.1@23761.direct.athenahealth.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 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": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1073991485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 AVENUE K",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774145128",
            "telephone_number": "979-323-9752",
            "fax_number": "979-323-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 AVENUE F",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774147107",
            "telephone_number": "979-323-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "JOE",
        "middle_name": "LOUIS",
        "name_suffix": "Jr.",
        "credential": "A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP127689",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP127689",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP127689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

Verify at the official NPI Registry.