Individual provider Active NPI

Madelin Perez Antela, APRN

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1124771803
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1069452 Issued in TX
Practice address
2000 Esters Rd Ste 120
Irving, TX 75061-8020
Phone
(369) 586-4574
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 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 PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 1069452 TX Primary

Addresses

Primary practice location

2000 Esters Rd Ste 120
Irving, TX 75061-8020

Mailing address

1108 Carrington CT
Irving, TX 75060-4806
Phone (469) 901-2238

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
I20230123000474 TX Practitioner - Nurse Practitioner 6800267279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2000 Esters Rd
Suite 120
Irving, TX 75061-8020
Phone (469) 586-4574

Merit-based Incentive Payment System (MIPS)

Final score
64.13 of 100Reported as group
Quality
29.63
Promoting interoperability
100
Improvement activities
40
Cost
17.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1069452TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Familiar la Buena Fe LLC Multi-Specialty CurrentSince Sep 10, 2022 Accepting new patients
Desoto Healthcare Clinic LLC Multi-Specialty CurrentSince Apr 20, 2023 Accepting new patients
Happy Bridge Primary Care & Home Health PLLC Multi-Specialty PastSince Nov 6, 2025 Accepting new patients

Locations

2000 Esters Rd
Ste 120
Irving, TX 75061
Phone (469) 586-4574

860 Hebron Pkwy
Ste 704
Lewisville, TX 75057
Phone (214) 777-2703

Organizations & group practices 3

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": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1124771803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 CARRINGTON CT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750604806",
            "telephone_number": "469-901-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ESTERS RD STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750618020",
            "telephone_number": "369-586-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ ANTELA",
        "first_name": "MADELIN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1069452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.