Individual provider Active NPI

Guadalupe Arevalo, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1104656859
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1170773 Issued in TX
Practice address
500 E Ridge Rd
McAllen, TX 78503-1506
Phone
(956) 630-5522
NPI assigned
Aug 6, 2024
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1170773 TX Primary

Addresses

Primary practice location

500 E Ridge Rd
McAllen, TX 78503-1506

Mailing address

500 E Ridge Rd
McAllen, TX 78503-1506
Phone (956) 630-5522

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
I20240925003258 TX Practitioner - Nurse Practitioner 1254872633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Clinic PLLCGroup PAC ID 5193710945, 24 clinicians

Practice addresses (Care Compare)

500 E Ridge Dr
Suite 300
McAllen, TX 78503-1508
Phone (956) 630-5522

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1170773TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Clinic, PLLC Single Specialty CurrentSince Sep 30, 2024 Accepting new patients
Juan Joel Garza, MD PA Single Specialty Past Accepting new patients

Locations

500 E Ridge Rd
McAllen, TX 78503

500 E Ridge Rd
Ste 300
McAllen, TX 78503
Phone (956) 428-5522

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": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1104656859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E RIDGE RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031506",
            "telephone_number": "956-630-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E RIDGE RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031506",
            "telephone_number": "956-630-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREVALO",
        "first_name": "GUADALUPE",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1170773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.