Individual provider Active NPI

Marie Cristine Balais Bandala, FNP-BC, FNP-C

  • Nurse Practitioner
  • Uvalde, TX
National Provider Identifier
1457073587
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1093376 Issued in TX
Practice address
1038 Garner Field Rd Unit a
Uvalde, TX 78801-4810
Phone
(830) 278-1652
Fax
(830) 278-3654
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1093376 TX
Nurse Practitioner 363L00000X 1093376 TX Primary

Addresses

Primary practice location

1038 Garner Field Rd Unit a
Uvalde, TX 78801-4810

Mailing address

4411 Medical Dr Ste 300
San Antonio, TX 78229-3824
Phone (210) 614-5400

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
I20221107000403 TX Practitioner - Nurse Practitioner 3476939067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinic of San Antonio, PLLCGroup PAC ID 1153517420, 125 clinicians

Practice addresses (Care Compare)

1038 Garner Field Rd
Unit a
Uvalde, TX 78801-4810
Phone (830) 278-1652

Hospital & facility affiliations

  • Uvalde Memorial Hospital Hospital, Uvalde, TX, CCN 451387
  • Val Verde Regional Medical Center Hospital, Del Rio, TX, CCN 450154

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
92.03
Improvement activities
40
Cost
85.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1093376TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Development Inc. Current Accepting new patients
Cardiology Clinic of San Antonio, PLLC CurrentSince Apr 15, 2025 Accepting new patients
Victoria Emergency Partners LLC CurrentSince Jan 21, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

4411 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 582-5145

908 Evans St
Ste A
Uvalde, TX 78801
Phone 8302785604 ext. 3100

908 Evans St
Uvalde, TX 78801
Phone (830) 278-3765

200 Evans St
Uvalde, TX 78801
Phone (830) 278-7105

1038 Garner Field Rd
#A
Uvalde, TX 78801
Phone (512) 291-5656

Interoperability endpoints

  • Direct secure messaging: 3210-cristinabandala-marie@direct.leadingreach.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mariecristine.bandala@hca7.eclinicaldirectplus.com

Organizations & group practices 3

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": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1457073587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293824",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 GARNER FIELD RD UNIT A",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788014810",
            "telephone_number": "830-278-1652",
            "fax_number": "830-278-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDALA",
        "first_name": "MARIE CRISTINE",
        "middle_name": "BALAIS",
        "credential": "FNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1093376",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1093376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uvalde, TX

Sources for this page

Verify at the official NPI Registry.