Marivel Lydia Cavazos-Pantoja, RN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP115092 Issued in TX

Practice address

620 S Broadway St
McAllen, TX 78501-4906

Phone

(956) 686-4224

Fax

(956) 331-2331

NPI assigned

Jul 23, 2009

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marivel.cavazos@ashleypediatrics.opdirect.net
• Direct secure messaging: mcavazospantoja62538@direct.utmb.edu

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.

• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  Medicare reassignment Care Compare group NPD
• Alberto D Duran M.D P.a.

  • Obstetrics & Gynecology Physician
  • San Juan, TX
  • NPI 1134381098
  NPD (past)
• Edgar a Rodriguez MD PA

  • Obstetrics & Gynecology Physician
  • San Juan, TX
  • NPI 1669260840
  NPD (past)

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1598995607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N RAUL LONGORIA RD",
            "address_2": "ST C",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893713",
            "telephone_number": "956-782-7878",
            "fax_number": "956-283-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S BROADWAY ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014906",
            "telephone_number": "956-686-4224",
            "fax_number": "956-331-2331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 N. Raul Longoria Ra. Ste C",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "TX",
            "postal_code": "78589",
            "country_code": "US",
            "telephone_number": "956-782-7878",
            "fax_number": "956-283-0904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVAZOS-PANTOJA",
        "first_name": "MARIVEL",
        "middle_name": "LYDIA",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115092",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "AP115092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ted C Cation, LPC
• Anthony Reginald J Cauba
• Magdalena Caudillo, P.A.
• Cynthia Cavazos-Gonzalez, PH.D
• Rocio Beatriz Cavazos-Guajardo, AUD
• Andrea Cavazos
• Angelica Cavazos
• Arely Cavazos
• Carlos Cavazos, OTR
• Chelsy Cavazos, FNP-BC

• Family Nurse Practitioner in McAllen, TX
• Providers in McAllen, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.