Individual provider Active NPI

Mireille Dziuk, APRN, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1669993473
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134277 Issued in TX
Practice address
7442 S Staples St
Corpus Christi, TX 78413-5316
Phone
(361) 991-0289
NPI assigned
Jun 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 219407 AR
Family Medicine Physician 207Q00000X 224904 LA
Family Medicine Physician 207Q00000X 114163 TN
Family Medicine Physician 207Q00000X 72101 ID
Family Medicine Physician 207Q00000X 4704387568 MI
Family Medicine Physician 207Q00000X AP134277 TX
Family Medicine Physician 207Q00000X A168019 IA
Family Medicine Physician 207Q00000X 355428 NY
Family Nurse Practitioner 363LF0000X AP134277 TX Primary
Family Medicine Physician 207Q00000X 0002010 CO
Family Medicine Physician 207Q00000X 49615 WY
Family Medicine Physician 207Q00000X 852298 NV
Family Medicine Physician 207Q00000X 114163 NE
Family Medicine Physician 207Q00000X 0003884 CO
Family Medicine Physician 207Q00000X 71012589A IN

Addresses

Primary practice location

7442 S Staples St
Corpus Christi, TX 78413-5316

Mailing address

7442 S Staples St
Corpus Christi, TX 78413-5316

Other practice location 1

Medical Group of New York, P.C.
107 s country road
bellport, NY 11713
Phone (866) 389-2727

Other practice location 2

301 S Hillside Dr Ste 10
Beeville, TX 78102-5324
Phone (361) 358-1815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI, TN, LA, IN, NY, MD, DC8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20180129002157 TX Practitioner - Nurse Practitioner 3870853542 Reassigns benefits to 2 organizations
I20220510000346 MI Practitioner - Nurse Practitioner 3870853542 Reassigns benefits to 1 organization
I20220517000897 TN Practitioner - Nurse Practitioner 3870853542 Reassigns benefits to 1 organization
I20220527001393 LA Practitioner - Nurse Practitioner 3870853542 Reassigns benefits to 1 organization
I20220629000999 IN Practitioner - Nurse Practitioner 3870853542 Reassigns benefits to 1 organization
I20250123002004 NY Practitioner - Nurse Practitioner 3870853542 Reassigns benefits to 1 organization
I20250128002590 MD Practitioner - Nurse Practitioner 3870853542 Reassigns benefits to 1 organization
I20250128002814 DC Practitioner - Nurse Practitioner 3870853542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostics of Indiana LLCGroup PAC ID 3072548502, 121 clinicians
Minuteclinic Telehealth Services of Texas AssociationGroup PAC ID 8921437427, 47 clinicians

Practice addresses (Care Compare)

1466 W Oak St
Zionsville, IN 46077-1800
Phone (866) 389-2727

1855 Gattis School Rd
Round Rock, TX 78664-7428
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219407ARMDFamily Medicine Physician
0003884COMDFamily Medicine Physician
A168019IAMDFamily Medicine Physician
72101IDMDFamily Medicine Physician
71012589AINMDFamily Medicine Physician
224904LAMDFamily Medicine Physician
114163NEMDFamily Medicine Physician
355428NYMDFamily Medicine Physician
114163TNMDFamily Medicine Physician
49615WYMDFamily Medicine Physician
31466TNMDPsychiatry Physician
0002010COMDSpeech-Language Pathologist

Practice roles (10 of 14)

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Feb 11, 2020 Accepting new patients
MC Medical Group of Nevada, P.C Family CurrentSince May 1, 2022 Accepting new patients
Minuteclinic Diagnostic of Michigan PC Family CurrentSince May 1, 2022 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Feb 11, 2020 Accepting new patients
Minuteclinic Diagnostic of Tennessee PC Family CurrentSince May 1, 2022 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Jan 10, 2025 Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince May 23, 2022 Accepting new patients
Minuteclinic Diagnostic of Louisiana, LLC Family CurrentSince May 1, 2022 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family Medicine CurrentSince May 1, 2022 Accepting new patients
Minuteclinic LLC Family CurrentSince Jan 17, 2025 Accepting new patients

Locations

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

1466 W Oak St
Zionsville, IN 46077
Phone (317) 873-6438

4401 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 891-7731

2103 Gause Blvd E
Slidell, LA 70461
Phone (985) 643-5743

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

39350 9 Mile Rd
Northville Township, MI 48167
Phone (248) 735-6081

3290 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 254-2598

4755 W Ann Rd
North Las Vegas, NV 89031
Phone (702) 396-2857

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

375 White Plains Rd
Eastchester, NY 10709
Phone (914) 337-5300

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

1200 Gallatin Pike S
Madison, TN 37115
Phone (615) 868-2150

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

7442 S Staples St
Corpus Christi, TX 78413
Phone (361) 991-0289

2469 Bay Area Blvd
Houston, TX 77058
Phone (281) 474-4042

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

5002 W Main St
League City, TX 77573
Phone (281) 557-4374

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 10

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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1669993473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7442 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7442 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135316",
            "telephone_number": "361-991-0289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "MEDICAL GROUP OF NEW YORK, P.C.",
            "address_2": "107 s country road",
            "address_purpose": "LOCATION",
            "city": "bellport",
            "state": "NY",
            "postal_code": "11713",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Hillside Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Beeville",
            "state": "TX",
            "postal_code": "781025324",
            "country_code": "US",
            "telephone_number": "361-358-1815",
            "fax_number": "361-358-1817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DZIUK",
        "first_name": "MIREILLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "219407",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "224904",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "114163",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "72101",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4704387568",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP134277",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "A168019",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "355428",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134277",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0002010",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "49615",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "852298",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "114163",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0003884",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "71012589A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.