Organization Active NPI

Luna Family Medical, PLLC

  • Family Nurse Practitioner
  • Mission, TX
National Provider Identifier
1619544004
Registry record updated Sep 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LUNA FAMILY MEDICAL, PLLC
Practice address
2605 W Mile 5 Rd Ste E5
Mission, TX 78574-0981
Phone
(956) 600-8199
Fax
(956) 600-8301
NPI assigned
Jun 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2025

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

Authorized official

Name
Anayancy Driscoll LunaNPI 1831591064
Title
Owner
Phone
(956) 221-2218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2605 W Mile 5 Rd Ste E5
Mission, TX 78574-0981

Mailing address

2605 W Mile 5 Rd Ste E1
Mission, TX 78574-0981
Phone (956) 600-8199

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL LUNAFAMILYMEDICALPLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211216000082 TX Part B Supplier - Clinic/Group Practice 4981095544 Receives reassigned benefits from 2 practitioners
Practice locations: Mission, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2229330Luna Family Medical2605 W Mile 5 Road, Suite E-1, Mission, TX 78574Certificate of waiverJul 10, 2027

National Provider Directory

National Provider Directory

Locations

2605 W Mile 5 Rd
Ste E5
Mission, TX 78574
Phone (956) 600-8199

2605 W Mile 5 Rd
Bldg 5
Mission, TX 78574

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759017600000",
    "number": "1619544004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 W MILE 5 RD STE E1",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785740981",
            "telephone_number": "956-600-8199",
            "fax_number": "956-600-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W MILE 5 RD STE E5",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785740981",
            "telephone_number": "956-600-8199",
            "fax_number": "956-600-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA FAMILY MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-05",
        "last_updated": "2025-09-28",
        "certification_date": "2025-09-28",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL LUNA",
        "authorized_official_first_name": "ANAYANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-221-2218"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LUNAFAMILYMEDICALPLLC",
            "affiliation": "N",
            "address_1": "2605 W Mile 5 Rd Bldg 5",
            "city": "Mission",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785740968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.