Individual provider Active NPI

Mario Eli Segura, FNP-BC

  • Family Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1316406549
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140992 Issued in TX
Practice address
4631 S Jackson Rd
Edinburg, TX 78539-7794
Phone
(956) 271-0660
Fax
(956) 525-4211
NPI assigned
Mar 18, 2019
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 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 AP140992 TX Primary

Addresses

Primary practice location

4631 S Jackson Rd
Edinburg, TX 78539-7794

Mailing address

4631 S Jackson Rd
Edinburg, TX 78539-7794
Phone (956) 271-0660

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
I20220210000395 TX Practitioner - Nurse Practitioner 0749673978 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David Schnaiderman MD PA CurrentSince Nov 9, 2021 Accepting new patients

Locations

4631 S Jackson Rd
Edinburg, TX 78539
Phone (956) 271-0660

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16488/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mario.segura.1@16488.direct.athenahealth.com

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, 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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1316406549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397794",
            "telephone_number": "956-271-0660",
            "fax_number": "956-525-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397794",
            "telephone_number": "956-271-0660",
            "fax_number": "956-525-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURA",
        "first_name": "MARIO",
        "middle_name": "ELI",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.