Individual provider Active NPI

Ma Luisa Chua Mirasol, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1144814799
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1030515 Issued in TX
Practice address
1515 S Buckner Blvd Ste 141
Dallas, TX 75217-1794
Phone
(214) 305-7065
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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 1030515 TX Primary

Addresses

Primary practice location

1515 S Buckner Blvd Ste 141
Dallas, TX 75217-1794

Mailing address

PO Box 746079
Atlanta, GA 30374-6079

Other practice location 1

5616 Durst Ln
Forney, TX 75126-1937
Phone (469) 432-7772

Other names 1

  • Ma. Luisa Rosario Chua Former name

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
I20210814000139 TX Practitioner - Nurse Practitioner 5597169466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

1515 S Buckner Blvd
Suite 141
Dallas, TX 75217-1794
Phone (214) 305-7065

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Texas, PLLC Family CurrentSince Sep 15, 2025 Accepting new patients

Locations

1515 S Buckner Blvd
Ste 141
Dallas, TX 75217
Phone (214) 305-7065

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

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.

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1144814799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746079",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S BUCKNER BLVD STE 141",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171794",
            "telephone_number": "214-305-7065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5616 Durst Ln",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751261937",
            "country_code": "US",
            "telephone_number": "469-432-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRASOL",
        "first_name": "MA LUISA",
        "middle_name": "CHUA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1030515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA. LUISA",
            "last_name": "CHUA",
            "middle_name": "ROSARIO",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.