Individual provider Active NPI

Ellen G Lamanilao, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1427548189
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1137371 Issued in TX
Practice address
2922 Morgan Ave
Corpus Christi, TX 78405-2141
Phone
(361) 887-6601
Fax
(361) 887-8225
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9327300 FL
Family Nurse Practitioner 363LF0000X 1137371 TX Primary

Addresses

Primary practice location

2922 Morgan Ave
Corpus Christi, TX 78405-2141

Mailing address

2922 Morgan Ave
Corpus Christi, TX 78405-2141
Phone (361) 887-6601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180726000694 FL Practitioner - Nurse Practitioner 1759638414 Reassigns benefits to 2 organizations
I20231214003164 TX Practitioner - Nurse Practitioner 1759638414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

2922 Morgan Ave
Corpus Christi, TX 78405-2141
Phone (361) 887-6601

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9327300FLMDFamily Medicine Physician
1137371TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Nephrology P a CurrentSince Jun 1, 2018 Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Jan 16, 2024 Accepting new patients
Wellmed Medical Group, PA Family Medicine CurrentSince Jan 16, 2024 Accepting new patients
Inpatient Medical Services, Inc CurrentSince Jul 14, 2021 Accepting new patients

Locations

2525 First St
Fort Myers, FL 33901
Phone (239) 332-3333

1154 Lee Blvd
Ste 3
Lehigh Acres, FL 33936
Phone (239) 230-2273

878 109th Ave N
Naples, FL 34108
Phone (239) 513-1002

2922 Morgan Ave
Corpus Christi, TX 78405
Phone (361) 887-6601

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: ellen.lamanilao@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1427548189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 MORGAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784052141",
            "telephone_number": "361-887-6601",
            "fax_number": "361-887-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 MORGAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784052141",
            "telephone_number": "361-887-6601",
            "fax_number": "361-887-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMANILAO",
        "first_name": "ELLEN",
        "middle_name": "G",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "9327300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1137371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.