Hector Medellin III, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1015900 Issued in TX

Practice address

6014 County Road 4068
Kemp, TX 75143-2600

Phone

(903) 603-4322

NPI assigned

Oct 26, 2020

Last updated

Oct 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Health and Human Services CommissionGroup PAC ID 2163795824, 138 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.68 of 100Reported as group

Quality

89.34

Improvement activities

40

Cost

49.8

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Health and Human Services Commission

  dba Rio Grande State Center

  • Clinical Neuropsychologist
  • Harlingen, TX
  • NPI 1356414692
  Medicare reassignment Care Compare group NPD
• Allan J. McCorkle, M.D.,P.a.

  dba Lone Star Psychiatric Services

  • Geriatric Psychiatry Physician
  • Lubbock, TX
  • NPI 1477719292
  Medicare reassignment NPD
• Ultacare Medical PLLC

  dba Dr. Hasemeier & Associates

  • Family Medicine Physician
  • New Tazewell, TN
  • NPI 1225141492

  Psychiatric/Mental Health, TX

  Medicare reassignment NPD
• Health and Human Services Commission

  • Intellectual Disabilities Intermediate Care Facility
  • Pollok, TX
  • NPI 1225117567
  NPD
• Health and Human Services Commission

  dba Big Spring State Hospital

  • Psychiatric Hospital
  • Big Spring, TX
  • NPI 1881600682
  NPD

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1497355929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 COUNTY ROAD 4068",
            "city": "KEMP",
            "state": "TX",
            "postal_code": "751432600",
            "telephone_number": "903-603-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6014 COUNTY ROAD 4068",
            "city": "KEMP",
            "state": "TX",
            "postal_code": "751432600",
            "telephone_number": "903-603-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDELLIN",
        "first_name": "HECTOR",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1015900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gruenepointe 1 Kemp, LLC (Kemp Care Center)
• Hamilton County Hospital District (Kemp Care Center)
• Harmony Homes (Anna Salahuddin)
• Hannah Jumper
• Kemp Independent School District
• Jenifer Meischen
• Hope Hearon Miller
• Melissa Moore
• Victoria Morris, ATC
• Matthew Mowles

• Psychiatric/Mental Health Nurse Practitioner in Kemp, TX
• Providers in Kemp, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.