Individual provider Active NPI

Carlos Alberto Elizondo, FNP-BC

  • Family Nurse Practitioner
  • Brownsville, TX
National Provider Identifier
1649091059
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
778706 Issued in TX
Practice address
2994 Vanessa Dr
Brownsville, TX 78526-2881
Phone
(956) 566-7636
NPI assigned
Oct 18, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 778706 TX Primary

Addresses

Primary practice location

2994 Vanessa Dr
Brownsville, TX 78526-2881

Mailing address

2994 Vanessa Dr
Brownsville, TX 78526-2881
Phone (956) 566-7636

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
I20250115003648 TX Practitioner - Nurse Practitioner 3870021041 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMC RGV Physicians Group IIGroup PAC ID 7810356383, 8 clinicians
Renaissance Emergency Physicians,PAGroup PAC ID 9830148683, 11 clinicians

Practice addresses (Care Compare)

2114 Hale Ave
Harlingen, TX 78550-8408
Phone (956) 365-4106

3401 Padre Blvd
Suite Aandb
South Padre Island, TX 78597-7124
Phone (956) 226-1606

5501 S McColl Rd
Edinburg, TX 78539-5503
Phone (956) 362-8677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
778706TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Normandy Urgent Care Center PA CurrentSince Jan 1, 2025 Accepting new patients
Valley Med Urgent Care PLLC CurrentSince Jan 1, 2025 Accepting new patients
HMC RGV Physicians Group II CurrentSince Feb 1, 2026 Accepting new patients
Renaissance Emergency Physicians,PA CurrentSince Feb 1, 2025 Accepting new patients
Normandy Urgent Care Center PA PastSince Jan 1, 2025 Accepting new patients
Longpoint Medical PA PastSince Jun 11, 2019 Accepting new patients

Locations

800 E Alton Gloor Blvd
Brownsville, TX 78526
Phone 7138936214405

2534 Boca Chica Blvd
Brownsville, TX 78521
Phone (956) 546-2000

30 Providencia Ct
Ste 2
Brownsville, TX 78526
Phone (956) 266-4250

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

779 Normandy St
Houston, TX 77015

779 Normandy St
Ste 114
Houston, TX 77015
Phone (713) 453-8900

16272 Imperial Valley Dr
Ste K
Houston, TX 77060
Phone (281) 405-6900

9504 Long Point Rd
Ste E
Houston, TX 77055
Phone (713) 461-3535

101 E Expressway 83
Ste 170
McAllen, TX 78501
Phone (956) 546-2000

624 N Texas Blvd
Ste 1
Weslaco, TX 78596
Phone (956) 447-1500

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1649091059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2994 VANESSA DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785262881",
            "telephone_number": "956-566-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2994 VANESSA DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785262881",
            "telephone_number": "956-566-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZONDO",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "778706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.