Individual provider Active NPI

Gaddiel Vilela, NURSE PRACTITIONER

  • Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1669923108
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP132545 Issued in TX
Practice address
2505 McKendrick Dr
Cedar Park, TX 78613-6995
Phone
(512) 909-7278
NPI assigned
Oct 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 749252 TX
Nurse Practitioner 363L00000X AP132545 TX Primary

Addresses

Primary practice location

2505 McKendrick Dr
Cedar Park, TX 78613-6995

Mailing address

2505 McKendrick Dr
Cedar Park, TX 78613-6995

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
I20170522000428 TX Practitioner - Nurse Practitioner 1456628577 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nluc PLLCGroup PAC ID 3072752302, 219 clinicians

Practice addresses (Care Compare)

1246 N FM 3083 Rd W
Suite B
Conroe, TX 77304-5340
Phone (281) 783-8162

1500 E Whitestone Blvd
Suite 600
Cedar Park, TX 78613-2192
Phone (281) 783-8162

15500 W Hwy 71
Suite 100
Bee Cave, TX 78738-2815
Phone (281) 783-8162

16312 Southwest Fwy
Sugar Land, TX 77479-2371
Phone (281) 783-8162

3725 N Lakeline Blvd
Suite C
Leander, TX 78641-5354
Phone (281) 783-8162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
749252TXMDRegistered Nurse
AP132545TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Aug 1, 2022 Accepting new patients
GV Advanced Practice Solutions, LLC Current Accepting new patients
Nluc PLLC CurrentSince Aug 1, 2022 Accepting new patients
Jason Martin Medical Consulting LLC CurrentSince Apr 25, 2017 Accepting new patients
Rio Grande Valley Emergency Physicians PLLC CurrentSince Dec 1, 2017 Accepting new patients
Century Integrated Partners, Inc CurrentSince Dec 1, 2018 Accepting new patients
St. David'S Carenow Urgent Care PLLC PastSince Mar 9, 2020 Accepting new patients
Aco Jason Martin Medical Consulting Nurse Practitioner PastSince Aug 3, 2025 Accepting new patients

Locations

5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

3500 Gaston Ave
Dallas, TX 75246

1373 N Avenue C
Elgin, TX 78621
Phone (512) 285-2457

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100

900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Organizations & group practices 8

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1669923108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 MCKENDRICK DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 MCKENDRICK DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136995",
            "telephone_number": "512-909-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILELA",
        "first_name": "GADDIEL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "749252",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP132545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.