Mark A. Collazo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

675516 Issued in TX

Practice address

1 Haven for Hope Way Ste 300
San Antonio, TX 78207-1268

Phone

(210) 922-7000

Fax

(210) 220-2332

NPI assigned

Apr 18, 2013

Last updated

May 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wholistic Wound Care and Wellness PLLCGroup PAC ID 4880126473, 5 clinicians

Compassus Op of Texas LLCGroup PAC ID 0345517124, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.collazo.p1@direct.centromed.nextgenshare.com

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.

• Compassus Op of Texas LLC

  dba Compassus - San Antonio

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • San Antonio, TX
  • NPI 1063956720
  Medicare reassignment Care Compare group NPD
• Wholistic Wound Care & Wellness PLLC

  • Family Nurse Practitioner
  • Fair Oaks Ranch, TX
  • NPI 1851917637
  Medicare reassignment Care Compare group NPD
• Vpa of Texas PLLC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Irving, TX
  • NPI 1679510499
  Medicare reassignment NPD
• Vitalis Specialty Group LLC

  • Nurse Practitioner
  • San Antonio, TX
  • NPI 1205675121

  Family

  NPD
• Vpa of Texas PLLC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Irving, TX
  • NPI 1326667536
  NPD
• Vpa of Texas PLLC

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1578175865
  NPD
• Wholistic Imaging LLC

  • Diagnostic Ultrasound Physician
  • Fair Oaks Ranch, TX
  • NPI 1033085634
  NPD
• West Coast Wound and Skin Care Inc

  • Surgery Physician
  • Burbank, CA
  • NPI 1437675980
  NPD (past)

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1437593696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-922-7000",
            "fax_number": "210-220-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAVEN FOR HOPE WAY STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782071268",
            "telephone_number": "210-922-7000",
            "fax_number": "210-220-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "675516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Alan Collavo, R.PH.
• Bernadette Collazo, FNP
• Hector F Collazo Jr., PHARM D
• Leah Collazo
• Leslie Leeanne Collazo, DNP, APRN, PMHNP-BC
• Colleen M Corcoran PHD PC
• Benjamin Collen, MD
• Patricia Colley, LMT
• Janis Camille Collie
• Craig Walter Collier, CRT, RCP

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.