Edsel Estabillo, MSN,APRN,FNP-C,CEN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP145173 Issued in TX

Practice address

104 7TH St
Bay City, TX 77414-4853

Phone

(979) 245-6383

NPI assigned

Mar 5, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Edsel Noval Estabillo Other name

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD
• Direct secure messaging: eestabillo700071@memorialhermann.direct-ci.com

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.

• Memorial Hermann Urgent Care PLLC

  • Family Medicine Physician
  • Sugar Land, TX
  • NPI 1730821208
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment NPD
• Excel Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Cypress, TX
  • NPI 1013965797
  Medicare reassignment NPD
• Procenture Medical Services LLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1043719867
  Medicare reassignment NPD
• Excel Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Missouri City, TX
  • NPI 1356574131
  NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1174158604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22327 SHELDONWOOD CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495387",
            "telephone_number": "732-814-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 7TH ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144853",
            "telephone_number": "979-245-6383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21708 Highway 288 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Manvel",
            "state": "TX",
            "postal_code": "775784334",
            "country_code": "US",
            "telephone_number": "281-607-1623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTABILLO",
        "first_name": "EDSEL",
        "name_prefix": "Mrs.",
        "credential": "MSN,APRN,FNP-C,CEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP145173",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDSEL",
            "last_name": "ESTABILLO",
            "middle_name": "NOVAL",
            "prefix": "MRS.",
            "credential": "MSN,APRN,FNP-C,CEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Nurse Practitioner in Bay City, TX
• Providers in Bay City, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.