Raul Mendez Guevara

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1084130 Issued in TX

Practice address

614 Eaker St
Eden, TX 76837-7685

Phone

(325) 486-2555

NPI assigned

Jun 22, 2022

Last updated

Jun 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concho County Hospital DistrictGroup PAC ID 3971505298, 6 clinicians

Kodiak Area Native AssociationGroup PAC ID 8426959297, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concho County Hospital Hospital, Eden, TX, CCN 451325

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/conc-1a231bb4
• Direct secure messaging: rmguevara@direct.kodiakhealthcare.org

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.

• Concho County Hospital District

  • Family Medicine Physician
  • Eden, TX
  • NPI 1134166226
  Medicare reassignment Care Compare group NPD
• Kodiak Area Native Association

  • Community Health Clinic/Center
  • Kodiak, AK
  • NPI 1679514236

  TX

  Medicare reassignment Care Compare group NPD
• Frontera Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Mason, TX
  • NPI 1235381088
  Medicare reassignment NPD
• Concho County Hospital District

  dba Concho Medical Clinic

  • Rural Health Clinic/Center
  • Eden, TX
  • NPI 1851885016
  NPD
• Frontera Healthcare Network

  dba Frontera Fredericksburg Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Fredericksburg, TX
  • NPI 1730976770
  NPD
• Frontera Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Fredericksburg, TX
  • NPI 1992396949
  NPD
• Frontera Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Brady, TX
  • NPI 1801143664
  NPD (past)
• Kodiak Area Native Association

  • Dental Clinic/Center
  • Kodiak, AK
  • NPI 1205883907
  NPD (past)

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

• Concho County Hospital District

  • Rural Acute Care Hospital
  • Eden, TX
  • NPI 1326025701
  Care Compare affiliation
• Concho County Hospital District

  dba Concho Medical Clinic

  • Rural Health Clinic/Center
  • Eden, TX
  • NPI 1851885016

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1235860925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194",
            "city": "MENARD",
            "state": "TX",
            "postal_code": "768590194",
            "telephone_number": "325-486-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 EAKER ST",
            "city": "EDEN",
            "state": "TX",
            "postal_code": "768377685",
            "telephone_number": "325-486-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "RAUL",
        "middle_name": "MENDEZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1084130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eden Medical Clinic PA
• Joseph L Feldhaus, D.O.
• Frontera Healthcare Network (Frontera Healthcare Network - Eden Dental)
• Frontera Healthcare Network
• Jakalyn Jane Gossett, PA
• Anne Catherine Hofer, M.D.
• Ryleigh Annette Hyles
• Dalyn J Johnson, DDS
• Jenny Marie Londerholm, PT, DPT
• Nneka Crystal Papillion, M.D.

• Family Nurse Practitioner in Eden, TX
• Providers in Eden, 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 Jun 23, 2022; 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.