Individual provider Active NPI

Maria Pilar Perez Walterhouse

  • Gerontology Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1306716907
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
697402 Issued in TX
Practice address
2324 Pelican Ave
McAllen, TX 78504-4253
Phone
(956) 802-4830
NPI assigned
Nov 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X 697402 TX Primary

Addresses

Primary practice location

2324 Pelican Ave
McAllen, TX 78504-4253

Mailing address

2324 Pelican Ave
McAllen, TX 78504-4253
Phone (956) 802-4830

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
I20260316001171 TX Practitioner - Nurse Practitioner 4183107311 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)

2324 Pelican Ave
McAllen, TX 78504-4253

5501 S McColl Rd
Edinburg, TX 78539-5503

PO Box
McAllen, TX 78502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
697402TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance ICU Group Single Specialty CurrentSince Mar 9, 2026 Accepting new patients

Locations

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000

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": "1762560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1306716907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 PELICAN AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044253",
            "telephone_number": "956-802-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 PELICAN AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044253",
            "telephone_number": "956-802-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERHOUSE",
        "first_name": "MARIA PILAR",
        "middle_name": "PEREZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-08",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "697402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.