Individual provider Active NPI

Itzel Ibarra, FNP

  • Nurse Practitioner
  • Mission, TX
National Provider Identifier
1174180749
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1034540 Issued in TX
Practice address
2121 E Griffin Pkwy Ste 10
Mission, TX 78572-3072
Phone
(956) 583-7393
Fax
(956) 583-7309
NPI assigned
May 20, 2019
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1034540 TX Primary

Addresses

Primary practice location

2121 E Griffin Pkwy Ste 10
Mission, TX 78572-3072

Mailing address

PO Box 850001, Dept 8340
Orlando, FL 32885-0001
Phone (813) 536-7277

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
I20210727000128 TX Practitioner - Nurse Practitioner 2062815293 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McAllen Doctors PLLC CurrentSince Sep 9, 2023 Accepting new patients
Valley Internal Medicine Associates PLLC CurrentSince May 1, 2026 Accepting new patients
Mycare Medical of Texas, PLLC CurrentSince May 1, 2026 Accepting new patients
South Texas Physician Partners PLLC CurrentSince Feb 15, 2026 Accepting new patients
Ai Wound Care LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100

5416 S Jackson Rd
Edinburg, TX 78539
Phone (956) 213-0400

106 N Main St
La Feria, TX 78559
Phone (956) 797-2002

1801 S 5th St
Ste 110
McAllen, TX 78503
Phone (956) 631-0095

2121 E Griffin Pkwy
Ste 10
Mission, TX 78572
Phone (956) 583-7393

Interoperability endpoints

  • Direct secure messaging: itzel.ibarra@415054778073092.direct.elationemr.com
  • Direct secure messaging: itzel.ibarra@yazjimd.directbygreenway.com

Organizations & group practices 5

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1174180749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001, DEPT 8340",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850001",
            "telephone_number": "813-536-7277",
            "fax_number": "855-830-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E GRIFFIN PKWY STE 10",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723072",
            "telephone_number": "956-583-7393",
            "fax_number": "956-583-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "ITZEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1034540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.