Individual provider Active NPI

Donna M. Oldmixon, FNP

  • Family Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1154705713
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128390 Issued in TX
Practice address
510 E Rio Grande St
Victoria, TX 77901-6033
Phone
(361) 575-7441
Fax
(361) 788-6114
NPI assigned
Jul 14, 2015
Last updated
Jul 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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 AP128390 TX Primary

Addresses

Primary practice location

510 E Rio Grande St
Victoria, TX 77901-6033

Mailing address

510 E Rio Grande St
Victoria, TX 77901-6033
Phone (361) 575-7441

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
I20180208000609 TX Practitioner - Nurse Practitioner 9830459023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP128390TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen's Medical Center County of Victoria Family CurrentSince Oct 19, 2017 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

2700 Citizens Plz
Ste 300
Victoria, TX 77901
Phone (361) 573-0756

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113

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": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1154705713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E RIO GRANDE ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016033",
            "telephone_number": "361-575-7441",
            "fax_number": "361-788-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E RIO GRANDE ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016033",
            "telephone_number": "361-575-7441",
            "fax_number": "361-788-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDMIXON",
        "first_name": "DONNA",
        "middle_name": "M.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.