Individual provider Active NPI

Carla Alison Medina Martinez

  • Acute Care Nurse Practitioner
  • Euless, TX
National Provider Identifier
1245194174
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2025045459 Issued in TX
Practice address
425 Westpark Way Ste 102
Euless, TX 76040-3936
Phone
(817) 354-7070
NPI assigned
Dec 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2025045459 TX Primary

Addresses

Primary practice location

425 Westpark Way Ste 102
Euless, TX 76040-3936

Mailing address

4521 Vance Rd
North Richland Hills, TX 76180-8161

Other names 1

  • Carla Cantualla Former name

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
I20260604001531 TX Practitioner - Nurse Practitioner 2668943242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4116 W Spring Creek Pkwy
Suite 400 C
Plano, TX 75024-5237

425 Westpark Way
Euless, TX 76040-3936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025045459TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elpis Healthcare, PLLC CurrentSince May 1, 2026 Accepting new patients

Locations

425 Westpark Way
Ste 102
Euless, TX 76040
Phone (469) 983-5000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1245194174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 VANCE RD",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WESTPARK WAY STE 102",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403936",
            "telephone_number": "817-354-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA MARTINEZ",
        "first_name": "CARLA",
        "middle_name": "ALISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "2025045459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "CANTUALLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Euless, TX

Sources for this page

Verify at the official NPI Registry.