Individual provider Active NPI

Melissa Crain Donoso, FNP-C

  • Family Nurse Practitioner
  • Waco, TX
National Provider Identifier
1164918629
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
818532 Issued in TX
Practice address
318 Richland West Cir
Waco, TX 76712-7919
Phone
(254) 776-8008
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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 818532 TX Primary

Addresses

Primary practice location

318 Richland West Cir
Waco, TX 76712-7919

Mailing address

1648 Old Ranch Rd
China Spring, TX 76633-3212
Phone (254) 836-9559

Other identifiers 2

IdentifierTypeStateIssuer
F05180168OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
818532OtherTXTEXAS BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
818532TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Wellness Centers PLLC CurrentSince Nov 1, 2023 Accepting new patients
Waco Wound Care, PLLC PastSince Apr 27, 2025 Accepting new patients
GTG Enterprises, LLC PastSince Mar 3, 2024 Accepting new patients

Locations

1300 Lake Air Dr
Ste 7
Waco, TX 76710
Phone (254) 741-5992

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": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1164918629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 OLD RANCH RD",
            "city": "CHINA SPRING",
            "state": "TX",
            "postal_code": "766333212",
            "telephone_number": "254-836-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 RICHLAND WEST CIR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127919",
            "telephone_number": "254-776-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOSO",
        "first_name": "MELISSA",
        "middle_name": "CRAIN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "818532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F05180168",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "818532",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.