Individual provider Active NPI

Crystal Marie Ferron-Carrales, FNP-BC

  • Family Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1336856715
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1097998 Issued in TX
Practice address
5520 Leonardo Da Vinci Ste 100
Edinburg, TX 78539-1422
Phone
(956) 362-3636
NPI assigned
Nov 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 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 1097998 TX Primary

Addresses

Primary practice location

5520 Leonardo Da Vinci Ste 100
Edinburg, TX 78539-1422

Mailing address

PO Box 6139
McAllen, TX 78502-6139
Phone (956) 362-3636

Other practice location 1

101 N FM 3167 Ste 106
Rio Grande City, TX 78582-6725
Phone (956) 352-1431

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
I20221122000064 TX Practitioner - Nurse Practitioner 5496123507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance GastroenterologyGroup PAC ID 7810110780, 19 clinicians

Practice addresses (Care Compare)

101 N FM
3167 Suite 106
Rio Grande City, TX 78582-6776
Phone (956) 352-1431

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
88.93
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Gastroenterology Family CurrentSince Nov 8, 2022 Accepting new patients

Locations

5520 Leonardo Da Vinci
Ste 100
Edinburg, TX 78539

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

2121 E Griffin Pkwy
Ste 16
Mission, TX 78572
Phone (956) 362-5030

101 N FM 3167
Ste 106
Rio Grande City, TX 78582
Phone (956) 352-1431

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1336856715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6139",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785026139",
            "telephone_number": "956-362-3636",
            "fax_number": "956-362-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 LEONARDO DA VINCI STE 100",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391422",
            "telephone_number": "956-362-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N FM 3167 STE 106",
            "address_purpose": "LOCATION",
            "city": "Rio Grande City",
            "state": "TX",
            "postal_code": "785826725",
            "country_code": "US",
            "telephone_number": "956-352-1431",
            "fax_number": "956-352-1436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRON-CARRALES",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1097998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.