Individual provider Active NPI

Elizabeth Vallejo, FNP-BC

  • Family Nurse Practitioner
  • Brownwood, TX
National Provider Identifier
1679896856
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
693685 Issued in TX
Practice address
2100 Crockett Dr.
Brownwood, TX 76801
Phone
(325) 646-0704
Fax
(888) 895-1214
NPI assigned
Mar 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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 693685 TX Primary

Addresses

Primary practice location

2100 Crockett Dr.
Brownwood, TX 76801

Mailing address

1100 W. Reynosa Ave.
De Leon, TX 76444
Phone (254) 893-5895

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
I20100517000196 TX Practitioner - Nurse Practitioner 4486782182 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 W Reynosa Ave
De Leon, TX 76444-1630
Phone (254) 893-5895

135 River N Blvd
Stephenville, TX 76401-1804
Phone (254) 965-2810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
693685TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Medical Center Brownwood CurrentSince Jun 1, 2024 Accepting new patients
Hendrick Provider Network CurrentSince Apr 1, 2021 Accepting new patients
Hendrick Provider Network CurrentSince Apr 1, 2021 Accepting new patients
Cross Timbers Health Clinics, Inc. Current Accepting new patients
Hendrick Medical Center Brownwood CurrentSince Jun 1, 2024 Accepting new patients
Sammy J Horton, MD Past Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

120 S Park Dr
Brownwood, TX 76801
Phone (325) 646-7899

2371 Crockett Dr
Ste 104
Brownwood, TX 76801
Phone (325) 430-6319

2371 Crockett Dr
Ste 102
Brownwood, TX 76801
Phone (325) 641-1140

120 S Park Dr
Ste D
Brownwood, TX 76801
Phone (325) 643-6620

100 S Park Dr
Brownwood, TX 76801
Phone (325) 643-3561

104 S Park Dr
Brownwood, TX 76801
Phone (325) 643-5695

103 S Park Dr
Ste B
Brownwood, TX 76801
Phone (325) 643-8080

300 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3400

1100 W Reynosa Ave
De Leon, TX 76444
Phone (254) 893-5895

Interoperability endpoints

  • Direct secure messaging: elizabeth.vallejo@ahctx.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

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": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1679896856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W. REYNOSA AVE.",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "76444",
            "telephone_number": "254-893-5895",
            "fax_number": "888-895-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CROCKETT DR.",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "76801",
            "telephone_number": "325-646-0704",
            "fax_number": "888-895-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "693685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.