Active NPI
Melissa Crain Donoso, FNP-C
- Family Nurse Practitioner
- Waco, TX
National Provider Identifier
1164918629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 818532
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F05180168 | Other | AMERICAN ACADEMY OF NURSE PRACTITIONERS | |
| 818532 | Other | TX | TEXAS 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 818532 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Wellness Centers PLLC | Current | Accepting new patients | |
| Waco Wound Care, PLLC | Past | Accepting new patients | |
| GTG Enterprises, LLC | Past | 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.
-
- Anesthesiology Physician
- Woodway, TX
- NPI 1619326675
-
- Family Medicine Physician
- Waco, TX
- NPI 1588240782
-
- Family Medicine Physician
- Waco, TX
- NPI 1548057425
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.