Individual provider Active NPI

Vergil C. Datu, RN, MSN, FNP, AGACNP

  • Acute Care Nurse Practitioner
  • Weslaco, TX
National Provider Identifier
1629303946
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP118278 Issued in TX
Practice address
1401 E. 8TH Street
Weslaco, TX 78596
Phone
(833) 887-4863
Fax
(956) 296-6857
NPI assigned
Oct 4, 2009
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP118278 TX Primary
Family Nurse Practitioner 363LF0000X 620360 TX

Addresses

Primary practice location

1401 E. 8TH Street
Weslaco, TX 78596

Mailing address

5215 S McColl Rd
Edinburg, TX 78539-7861
Phone (956) 631-7100

Other identifiers 2

IdentifierTypeStateIssuer
3116535-08MedicaidTX
H08LX10001OtherTXBCBS

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
I20121026000379 TX Practitioner - Nurse Practitioner 1052561172 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
620360TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Humberto Nunez MD PA CurrentSince Mar 21, 2017 Accepting new patients
RX Wound Care Clinic LLC CurrentSince Jul 9, 2025 Accepting new patients
Urgent Care Center by DMD LLC CurrentSince Jul 9, 2025 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
Knapp Medical Center Past Accepting new patients

Locations

1112 S McColl Rd
Edinburg, TX 78539
Phone (956) 348-2093

110 E Savannah Ave
Bldg B
McAllen, TX 78503
Phone (956) 686-7611

Organizations & group practices 7

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": "1254614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1629303946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397861",
            "telephone_number": "956-631-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E. 8TH STREET",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "78596",
            "telephone_number": "833-887-4863",
            "fax_number": "956-296-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATU",
        "first_name": "VERGIL",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "RN, MSN, FNP, AGACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-04",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP118278",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "620360",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3116535-08",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08LX10001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.