Active NPI
Miguel Torres Medrano, NP
- Family Nurse Practitioner
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1021115
- Practice address
- 600 Columbus Ave Ste 106
Waco, TX 76701-1322 - Phone
- (254) 405-4537
- Fax
- (855) 226-8732
- NPI assigned
- Dec 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1021115 | TX | Primary |
Addresses
Primary practice location
600 Columbus Ave Ste 106
Waco, TX 76701-1322
Mailing address
600 Columbus Ave Ste 106
Waco, TX 76701-1322
Phone (254) 405-4537
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1021115 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Infusions, LLC | Current | Accepting new patients | |
| Innovative Infusions, LLC | Current | Accepting new patients | |
| Premier House Calls PLLC | Current | Accepting new patients |
Locations
200 N Mesquite St
Ste 115
Arlington, TX 76011
Phone (817) 200-2530
720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800
4710 Bellaire Blvd
Ste 340
Bellaire, TX 77401
Phone (713) 860-1755
11317 N Central Expy
Ste 100
Dallas, TX 75243
Phone (972) 408-2777
1650 Round Rock Ave
Ste 200
Round Rock, TX 78681
Phone (737) 443-5230
1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700
600 Columbus Ave
Ste 106
Waco, TX 76701
Phone (254) 405-4537
2320 W Loop 340
Ste 100B
Waco, TX 76711
Phone (254) 730-4168
605 Austin Ave
Waco, TX 76701
Phone (254) 405-4537
Organizations & group practices 3
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.
-
- Infusion Therapy Clinic/Center
- Dallas, TX
- NPI 1811299944
-
- Adult Health Nurse Practitioner
- Waco, TX
- NPI 1245981919
-
- Infusion Therapy Clinic/Center
- Indianapolis, IN
- NPI 1093512246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1265028476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 COLUMBUS AVE STE 106",
"city": "WACO",
"state": "TX",
"postal_code": "767011322",
"telephone_number": "254-405-4537",
"fax_number": "855-226-8732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 COLUMBUS AVE STE 106",
"city": "WACO",
"state": "TX",
"postal_code": "767011322",
"telephone_number": "254-405-4537",
"fax_number": "855-226-8732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES MEDRANO",
"first_name": "MIGUEL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-12",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1021115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.