Individual provider Active NPI

Maris K Paul

  • Family Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1295516193
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1137386 Issued in TX
Practice address
909 N Jackson Rd
McAllen, TX 78501-9357
Phone
(956) 992-9161
NPI assigned
Oct 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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 1137386 TX Primary

Addresses

Primary practice location

909 N Jackson Rd
McAllen, TX 78501-9357

Mailing address

909 N Jackson Rd
McAllen, TX 78501-9357
Phone (956) 992-9161

Other practice location 1

417 W Fm 495
San Juan, TX 78589-3717
Phone (956) 783-7088

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
I20240501000461 TX Practitioner - Nurse Practitioner 8820438393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Americo M Baca PLLCGroup PAC ID 6800127507, 4 clinicians

Practice addresses (Care Compare)

417 W FM
Suite 495
San Juan, TX 78589-3717
Phone (956) 783-7088

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Americo M Baca PLLC CurrentSince May 29, 2024 Accepting new patients
Laser Surgical Solutions, RGV LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

909 N Jackson Rd
McAllen, TX 78501
Phone (956) 992-9161

336 S 8th St
Raymondville, TX 78580
Phone (956) 689-2456

216 N FM 3167
Unit 2
Rio Grande City, TX 78582
Phone (956) 352-1008

417 W FM 495
San Juan, TX 78589
Phone (956) 263-1062

Organizations & group practices 2

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": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1295516193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N JACKSON RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785019357",
            "telephone_number": "956-992-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N JACKSON RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785019357",
            "telephone_number": "956-992-9161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 W Fm 495",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "TX",
            "postal_code": "785893717",
            "country_code": "US",
            "telephone_number": "956-783-7088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "MARIS",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1137386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.