Individual provider Active NPI

James Ryan Molato Villaruel

  • Psychiatric/Mental Health Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1245921683
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1181303 Issued in TX
Practice address
123 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone
(713) 355-6111
NPI assigned
May 17, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1181303 TX Primary

Addresses

Primary practice location

123 Vision Park Blvd
Shenandoah, TX 77384-3001

Mailing address

123 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone (713) 355-6111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230811000159 OK Practitioner - Nurse Practitioner 9638531486 Reassigns benefits to 3 organizations
I20260204001810 TX Practitioner - Nurse Practitioner 9638531486 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of OklahomaGroup PAC ID 4486558962, 99 clinicians

Practice addresses (Care Compare)

1222 10TH St
211 NCBH CMHC
Woodward, OK 73801-3156
Phone (580) 571-3235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1181303TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma Current Accepting new patients
State of Oklahoma CurrentSince Jun 17, 2023 Accepting new patients
Nexus Physicians Services PLLC CurrentSince Dec 27, 2025 Accepting new patients
State of Oklahoma CurrentSince Jun 17, 2023 Accepting new patients
State of Oklahoma Past Accepting new patients

Locations

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

1222 10th St
Ste 211
Woodward, OK 73801
Phone (580) 256-8615

123 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 364-0317

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1245921683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001",
            "telephone_number": "713-355-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001",
            "telephone_number": "713-355-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARUEL",
        "first_name": "JAMES RYAN",
        "middle_name": "MOLATO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-17",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1181303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.