Individual provider Active NPI

Mary Cantu, APRN-CNP

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1598472185
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1093577 Issued in TX
Practice address
702 Burkshire Dr
Corpus Christi, TX 78412-3013
Phone
(361) 290-3537
NPI assigned
Nov 2, 2022
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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 1093577 TX Primary

Addresses

Primary practice location

702 Burkshire Dr
Corpus Christi, TX 78412-3013

Mailing address

702 Burkshire Dr
Corpus Christi, TX 78412-3013
Phone (361) 290-3537

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
I20221213000879 TX Practitioner - Nurse Practitioner 1355710468 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
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians
Corpus Christi Medical Associates, P.a.Group PAC ID 3577741552, 6 clinicians

Practice addresses (Care Compare)

2922 Morgan Ave
Corpus Christi, TX 78405-2141
Phone (361) 887-6601

6200 Saratoga Blvd
Unit 5
Corpus Christi, TX 78414-3478
Phone (361) 225-2255

6200 Saratoga Blvd Unit
Suite 5
Corpus Christi, TX 78414-3478

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Jan 17, 2023 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jan 17, 2023 Accepting new patients

Locations

2922 Morgan Ave
Corpus Christi, TX 78405
Phone (361) 887-6601

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: mary.cantu@wellmed.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1598472185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 BURKSHIRE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784123013",
            "telephone_number": "361-290-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 BURKSHIRE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784123013",
            "telephone_number": "361-290-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "MARY",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1093577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.