Individual provider Active NPI

Marlen Trevino, FNP-C

  • Family Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1679809446
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
713908 Issued in TX
Practice address
303 Conquest
Edinburg, TX 78539-3040
Phone
(956) 720-0450
Fax
(956) 720-0451
NPI assigned
Oct 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 713908 TX Primary
Nurse Practitioner 363L00000X AP117639 TX

Addresses

Primary practice location

303 Conquest
Edinburg, TX 78539-3040

Mailing address

303 Conquest
Edinburg, TX 78539-3040
Phone (956) 729-0450

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
I20100917000373 TX Practitioner - Nurse Practitioner 4284759911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Family Care PLLCGroup PAC ID 4486029063, 2 clinicians

Practice addresses (Care Compare)

301 Conquest
Edinburg, TX 78539-3040

303 Conquest
Edinburg, TX 78539-3040
Phone (956) 457-7092

Hospital & facility affiliations

  • All Generations Health Care Inc Home health agency, Edinburg, TX, CCN 747422
  • Family Home Health Services Home health agency, Edinburg, TX, CCN 458294

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Care PLLC CurrentSince Jul 1, 2023 Accepting new patients
Upper Valley Hemorrhoid Clinic PA PastSince Jul 7, 2010 Accepting new patients

Locations

303 Conquest
Edinburg, TX 78539
Phone (956) 457-7092

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1679809446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 CONQUEST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393040",
            "telephone_number": "956-729-0450",
            "fax_number": "956-720-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 CONQUEST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393040",
            "telephone_number": "956-720-0450",
            "fax_number": "956-720-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "MARLEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "713908",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP117639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.