Mayra Villa, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Odessa, TX
NPI 1548972763 · NPPES record last updated Feb 6, 2023
Key facts
- NPI
- 1548972763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1100721 (TX)
- Practice address
- 3001 JBS Pkwy
Odessa, TX 79762-8126 - Phone
- (432) 640-6700
- Fax
- (432) 640-4700
- NPI assigned
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ector County Hospital District
MCH Professional Care
Practice addresses (Care Compare)
6030 W University Blvd
MCH Urgent Care
Odessa, TX 79764-8530
Phone (432) 640-6600
8050 E Hwy 191
Suite 104B
Odessa, TX 79765-8614
Phone (432) 640-6479
Hospital & facility affiliations
- Hospice of Midland Inc
- Medical Center Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.78 of 100
- Quality
- 60.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.21
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.63 of 100
- Quality
- 83.96
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.97
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230218000322 | TX | Practitioner - Nurse Practitioner | 5597137653 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1100721 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ector County Hospital District | Current |
Accepting new patients | |
| Ector County Hospital District | Current |
Accepting new patients | |
| Ector County Hospital District | Current | Accepting new patients | |
| MCH Professional Care | Current |
Accepting new patients |
Locations
500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000
315 Golder Ave
Ste B
Odessa, TX 79761
Phone (432) 332-2695
3001 John Ben Shepperd Pkwy
Odessa, TX 79762
Phone (432) 640-6700
8050 E Highway 191
Ste 104B
Odessa, TX 79765
Phone (432) 362-2685
6030 W University Blvd
Odessa, TX 79764
Phone (432) 640-6600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1100721 | TX | Yes |
Addresses
Primary practice location
3001 JBS Pkwy
Odessa, TX 79762-8126
Mailing address
PO Box 2129
Odessa, TX 79760-2129
Phone (432) 640-2401
Other practice location 1
6030 W University Blvd
Odessa, TX 79764-8530
Phone (432) 640-6600
Other providers in Odessa, TX
- Irene Vera
- Stacy Vera
- Amber Elisa Vetter
- Vibrant Smiles PLLC
- Christina Marie Vier
- Maria Resah Basa Villanueva
- Noel Feliciano Villanueva
- Carlos Eduardo Villarreal Hernandez
- Stephanie Villarreal
- Delia Sotelo Villaueva
All providers in Odessa, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.