Individual provider Active NPI

Nancy P Bueno, FNP-C

  • Family Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1336200310
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP115409 Issued in TX
Practice address
511 W 8TH St Ste 201
Odessa, TX 79761-4406
Phone
(432) 614-9298
Fax
(432) 614-9357
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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 AP115409 TX Primary

Addresses

Primary practice location

511 W 8TH St Ste 201
Odessa, TX 79761-4406

Mailing address

PO Box 2129
Odessa, TX 79760-2129
Phone (432) 614-9298

Other identifiers 1

IdentifierTypeStateIssuer
186868903MedicaidTX

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
I20070710000669 TX Practitioner - Nurse Practitioner 9234239997 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ector County Hospital District CurrentSince Oct 26, 2015 Accepting new patients
Ector County Hospital District CurrentSince Oct 26, 2015 Accepting new patients
MCH Professional Care Hospital Based CurrentSince Feb 1, 2023 Accepting new patients

Locations

840 W Clements St
Odessa, TX 79763
Phone (432) 333-3888

3001 John Ben Shepperd Pkwy
Odessa, TX 79762
Phone (432) 640-6700

6030 W University Blvd
Odessa, TX 79764
Phone (432) 640-6600

315 Golder Ave
Ste B
Odessa, TX 79761
Phone (432) 332-2695

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1336200310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797602129",
            "telephone_number": "432-614-9298",
            "fax_number": "432-614-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W 8TH ST STE 201",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614406",
            "telephone_number": "432-614-9298",
            "fax_number": "432-614-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENO",
        "first_name": "NANCY",
        "middle_name": "P",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186868903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.