Crystal Villanueva, FNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP128768 Issued in TX

Practice address

7101 N Mesa St # 365
El Paso, TX 79912-3613

Phone

(830) 267-4575

NPI assigned

Aug 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centric Physicians Group PLLCGroup PAC ID 1951614726, 22 clinicians

Healthdrive Medical Services of Texas LLCGroup PAC ID 2466899752, 40 clinicians

Healthdrive Medical Services Southeast LLCGroup PAC ID 4284075722, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Coe-Medical PLLC

  • Family Medicine Physician
  • Boerne, TX
  • NPI 1073907184
  Medicare reassignment Care Compare group NPD
• Healthdrive Medical Services of Texas LLC

  • Nurse Practitioner
  • Fort Worth, TX
  • NPI 1457132169
  Medicare reassignment Care Compare group NPD
• Healthdrive Medical Services Southeast LLC

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1437930146

  Family, TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1366828543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 PLEASANT VALLEY DR",
            "address_2": "STE 210",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065683",
            "telephone_number": "830-267-4575",
            "fax_number": "830-267-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 N MESA ST # 365",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123613",
            "telephone_number": "830-267-4575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Murchison Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799022906",
            "country_code": "US",
            "telephone_number": "915-217-2163",
            "fax_number": "915-217-2166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "CRYSTAL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128768",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP128768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ma. Theresa M. Villanos, M.D.
• Aurelia Villanueva Perez, LMSW
• Blanca Villanueva, SLPA
• Carlos Ricardo Villanueva Jr., LVN
• Carmen Villanueva, LPC-A
• Frida Villanueva, NP
• Irma Villar Alvarez
• Gisselle Villaran
• Alejandra Villarreal
• Jessica Marie Villarreal, COTA

• Psychiatric/Mental Health Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.