Individual provider Active NPI

Selina E Tristan, APRN,FNP-C

  • Family Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1104467562
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142157 Issued in TX
Practice address
611 Bishop St
Edinburg, TX 78539-0920
Phone
(956) 792-1636
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X AP142157 TX
Nurse Practitioner 363L00000X AP142157 TX
Family Nurse Practitioner 363LF0000X AP142157 TX Primary

Addresses

Primary practice location

611 Bishop St
Edinburg, TX 78539-0920

Mailing address

801 E Nolana Ave Ste 18
McAllen, TX 78504-6112
Phone (956) 540-5226

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
I20210216002740 TX Practitioner - Nurse Practitioner 1658786009 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince Aug 15, 2022 Accepting new patients
Carlos E Puig Mdpa Obstetrics CurrentSince Oct 28, 2020 Accepting new patients

Locations

701 E Davis St
Ste A
Conroe, TX 77301
Phone (936) 525-2800

620 S Broadway St
McAllen, TX 78501
Phone (956) 682-9680

801 E Nolana Ave
Ste 18
McAllen, TX 78504
Phone (956) 683-8001

3001 N 23rd St
Ste 1
McAllen, TX 78501
Phone (956) 540-5226

Interoperability endpoints

  • Direct secure messaging: stristan23221@direct.utmb.edu

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1104467562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE STE 18",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046112",
            "telephone_number": "956-540-5226",
            "fax_number": "956-246-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BISHOP ST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785390920",
            "telephone_number": "956-792-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRISTAN",
        "first_name": "SELINA",
        "middle_name": "E",
        "credential": "APRN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "AP142157",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142157",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.