Active NPI
Yandi Montes de Oca Moreno
- Family Nurse Practitioner
- Windcrest, TX
National Provider Identifier
1083479950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1082587
- Practice address
- 5245 Walzem Rd
Windcrest, TX 78218-2122 - Phone
- (210) 654-9700
- Fax
- (210) 660-1414
- NPI assigned
- Feb 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1082587 | TX | Primary |
Addresses
Primary practice location
5245 Walzem Rd
Windcrest, TX 78218-2122
Mailing address
5245 Walzem Rd
Windcrest, TX 78218-2122
Phone (210) 654-9700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5245 Walzem Rd
Windcrest, TX 78218-2122
Phone (210) 654-9700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1082587 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montes Moreno Healthcare Associates, PLLC | Current | Accepting new patients |
Locations
2900 N Big Spring St
Midland, TX 79705
Phone (432) 262-0535
1516 N Grandview Ave
Ste A
Odessa, TX 79761
Phone (432) 614-5555
5245 Walzem Rd
Windcrest, TX 78218
Phone (210) 654-9700
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Windcrest, TX
- NPI 1033954177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1083479950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5245 WALZEM RD",
"city": "WINDCREST",
"state": "TX",
"postal_code": "782182122",
"telephone_number": "210-654-9700",
"fax_number": "210-660-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5245 WALZEM RD",
"city": "WINDCREST",
"state": "TX",
"postal_code": "782182122",
"telephone_number": "210-654-9700",
"fax_number": "210-660-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTES DE OCA MORENO",
"first_name": "YANDI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-19",
"last_updated": "2024-04-30",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1082587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windcrest, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.