Individual provider Active NPI

Eslin Mary Luka, FNP-C

  • Nurse Practitioner
  • Waxahachie, TX
National Provider Identifier
1184250987
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP143403 Issued in TX
Practice address
201 Amanda LN Ste 300
Waxahachie, TX 75165-1393
Phone
(469) 466-6524
NPI assigned
Mar 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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 AP143403 TX Primary

Addresses

Primary practice location

201 Amanda LN Ste 300
Waxahachie, TX 75165-1393

Mailing address

201 Amanda LN Ste 300
Waxahachie, TX 75165-1393
Phone (469) 466-6524

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
I20200507001610 TX Practitioner - Nurse Practitioner 1052742087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Neurology PAGroup PAC ID 2860476397, 13 clinicians

Practice addresses (Care Compare)

6080 N Central Expy
Suite 100
Dallas, TX 75206-5202
Phone (214) 827-3610

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Center at Texas Neurology CurrentSince Jun 9, 2023 Accepting new patients
Texas Neurology, P.a. CurrentSince Jun 9, 2023 Accepting new patients

Locations

6080 N Central Expy
Ste 100
Dallas, TX 75206
Phone (214) 827-3610

6301 Gaston Ave
Ste 400W
Dallas, TX 75214
Phone (214) 827-3610

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1184250987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 AMANDA LN STE 300",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651393",
            "telephone_number": "469-466-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AMANDA LN STE 300",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651393",
            "telephone_number": "469-466-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKA",
        "first_name": "ESLIN",
        "middle_name": "MARY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP143403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.