Individual provider Active NPI

Anastasia Medrano, FNP-C

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1457132862
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1138729 Issued in TX
Practice address
3403 Andrews Hwy # 300
Midland, TX 79703-5132
Phone
(432) 522-1234
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1138729 TX Primary

Addresses

Primary practice location

3403 Andrews Hwy # 300
Midland, TX 79703-5132

Mailing address

2236 Independence Dr
Odessa, TX 79762-4568
Phone (432) 258-2399

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
I20240219000698 TX Practitioner - Nurse Practitioner 8022452044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midland Cardiac Clinic, PAGroup PAC ID 3577558808, 4 clinicians

Practice addresses (Care Compare)

3403 Andrews Hwy
Suite 300
Midland, TX 79703-5132
Phone (432) 522-1234

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1138729TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Cardiac Clinic, PA CurrentSince Dec 22, 2023 Accepting new patients

Locations

3403 Andrews Hwy
#300
Midland, TX 79703
Phone (432) 522-1234

3403 Andrews Hwy
Ste 300
Midland, TX 79703
Phone (432) 522-1234

3403 Andrews Hwy
Midland, TX 79703
Phone (432) 522-1234

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60086

Organizations & group practices 1

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 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": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1457132862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 INDEPENDENCE DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624568",
            "telephone_number": "432-258-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 ANDREWS HWY # 300",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797035132",
            "telephone_number": "432-522-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "ANASTASIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1138729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.