Individual provider Active NPI

Marlin Villegas, FNP-C

  • Family Nurse Practitioner
  • Denver City, TX
National Provider Identifier
1104556778
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1084156 Issued in TX
Practice address
415 N Avenue F
Denver City, TX 79323-2741
Phone
(806) 592-9501
NPI assigned
Jun 15, 2022
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 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 AP1084156 TX Primary

Addresses

Primary practice location

415 N Avenue F
Denver City, TX 79323-2741

Mailing address

314 Hunt Dr
Denver City, TX 79323-3324
Phone (580) 649-1512

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
I20220915000930 TX Practitioner - Nurse Practitioner 5092190827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of YoakumGroup PAC ID 3173431491, 10 clinicians

Practice addresses (Care Compare)

412 Mustang Ave
Denver City, TX 79323-5902

412 Mustang Dr
Denver City, TX 79323

412 Mustang Dr
Denver City, TX 79323-2762
Phone (806) 592-2121

P O Box
Suite 1130
Denver City, TX 79323-1130

PO Box
Suite 1130
Denver City, TX 79323-1130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP1084156TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Yoakum CurrentSince Jun 20, 2022 Accepting new patients
County of Yoakum CurrentSince Jun 20, 2022 Accepting new patients

Locations

412 Mustang Ave
Denver City, TX 79323
Phone (806) 592-2121

415 N Avenue F
Denver City, TX 79323
Phone (806) 592-9501

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1104556778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 HUNT DR",
            "city": "DENVER CITY",
            "state": "TX",
            "postal_code": "793233324",
            "telephone_number": "580-649-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N AVENUE F",
            "city": "DENVER CITY",
            "state": "TX",
            "postal_code": "793232741",
            "telephone_number": "806-592-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "MARLIN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP1084156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver City, TX

Sources for this page

Verify at the official NPI Registry.