Individual provider Active NPI

Nicole Tomko Villegas, CRNA

  • Certified Registered Nurse Anesthetist
  • Laredo, TX
National Provider Identifier
1376514075
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
619339 Issued in TX
Practice address
2801 Jones Dr
Laredo, TX 78045-8901
Phone
(956) 523-2619
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 619339 TX Primary

Addresses

Primary practice location

2801 Jones Dr
Laredo, TX 78045-8901

Mailing address

2801 Jones Dr
Laredo, TX 78045-8901
Phone (956) 523-2619

Other identifiers 5

IdentifierTypeStateIssuer
142497004MedicaidTX
142497009MedicaidTX
P00971759OtherTXMEDICARE RAILROAD
P00191328OtherTXMEDICARE RAILROAD
85041UOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000303 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335195767 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Baylor College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Ams PLLCGroup PAC ID 9133441769, 143 clinicians

Practice addresses (Care Compare)

1700 E Saunders St
Laredo, TX 78041-5474
Phone (956) 796-2660

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 31, 2020 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2012 Accepting new patients
Hospitalist Medicine Physicians of Texas - Dallas PLLC CurrentSince Jul 1, 2022 Accepting new patients
Laredo Digestive Health Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2019 Accepting new patients
Cardiovascular Anesthesiology,P.a. Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Beaumont Hospital Holdings Inc Past Accepting new patients

Locations

2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

6999 McPherson Rd
Ste 219
Laredo, TX 78041
Phone (956) 728-0030

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

230 Calle del Norte
Laredo, TX 78041
Phone (956) 693-5000

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

4810 N Loop 289
Lubbock, TX 79416
Phone (806) 687-7777

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

6124 W Parker Rd
Ste 530
Plano, TX 75093
Phone (214) 778-1075

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1376514075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 JONES DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780458901",
            "telephone_number": "956-523-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 JONES DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780458901",
            "telephone_number": "956-523-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "NICOLE",
        "middle_name": "TOMKO",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "619339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142497004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142497009",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00971759",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00191328",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85041U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.