Individual provider Active NPI

Rodolfo Bayardo, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1265438097
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
546838 Issued in TX
Practice address
5607 Everhart Rd
Corpus Christi, TX 78411-4904
Phone
(361) 232-3610
Fax
(361) 985-1295
NPI assigned
Jun 27, 2005
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 546838 TX Primary

Addresses

Primary practice location

5607 Everhart Rd
Corpus Christi, TX 78411-4904

Mailing address

4818 Lake Livingston Dr
Corpus Christi, TX 78413-5139
Phone (361) 232-3610

Other identifiers 2

IdentifierTypeStateIssuer
1642670-01MedicaidTX
546838OtherTXNURSE LICENCE-TX

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
I20040805001609 TX Practitioner - Nurse Practitioner 3375514854 Reassigns benefits to 3 organizations
Practice locations: Corpus Christi, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Bend Family Practice, PAGroup PAC ID 7911325998, 4 clinicians
Bay Area Psychiatry Services PCGroup PAC ID 2860885282, 11 clinicians

Practice addresses (Care Compare)

5607 Everhart Rd
Corpus Christi, TX 78411-4904
Phone (361) 854-4601

6000 S Staples St
Suite 406
Corpus Christi, TX 78413-2952
Phone (361) 444-5255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
546838TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Consulting Services CurrentSince Jan 23, 2007 Accepting new patients
Bay Area Psychiatry Services PC CurrentSince Sep 8, 2024 Accepting new patients
Coastal Bend Family Practice, PA CurrentSince Dec 14, 2022 Accepting new patients
Coastal Bend Neurology PA Past Accepting new patients
Thomas-Spann Clinic, P.a. Past Accepting new patients
Mr. Rodolfo Bayardo, NP Family Past Accepting new patients
Michael G. Winnie, MD-PA PastSince Dec 1, 2002 Accepting new patients
Primary Care Partners PLLC Past Accepting new patients

Locations

1315 Santa Fe St
Ste 201
Corpus Christi, TX 78404
Phone (361) 887-9600

1315 Santa Fe St
Ste 204
Corpus Christi, TX 78404
Phone (361) 444-5255

202 Fortune Dr
Corpus Christi, TX 78405
Phone (361) 252-0734

2601 Hospital Blvd
Ste 215
Corpus Christi, TX 78405
Phone (512) 887-9600

3922 W River Dr
Corpus Christi, TX 78410
Phone (361) 767-2000

4444 Corona Dr
Ste 137
Corpus Christi, TX 78411
Phone (361) 814-1455

4834 Yorktown Blvd
Corpus Christi, TX 78413
Phone (361) 225-3492

5607 Everhart Rd
Corpus Christi, TX 78411
Phone (361) 854-4601

6000 S Staples St
Ste 406
Corpus Christi, TX 78413
Phone (361) 444-5255

7352 Wooldridge Rd
Corpus Christi, TX 78414
Phone (361) 853-9981

1220 Loop 459
Mathis, TX 78368
Phone (361) 371-9093

221 Cedar Dr
Portland, TX 78374
Phone (361) 643-1888

401 Swift St
Refugio, TX 78377
Phone (361) 526-9223

3103 E Airline Rd
Victoria, TX 77901
Phone (361) 545-6457

3401 E Airline Rd
Victoria, TX 77901
Phone (361) 573-2467

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1265438097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 LAKE LIVINGSTON DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135139",
            "telephone_number": "361-232-3610",
            "fax_number": "361-906-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 EVERHART RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114904",
            "telephone_number": "361-232-3610",
            "fax_number": "361-985-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYARDO",
        "first_name": "RODOLFO",
        "name_prefix": "Mr.",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "546838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1642670-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE LICENCE-TX",
            "identifier": "546838",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.