Individual provider Active NPI

Marcel Marcelo, FNP

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1699392969
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1002006 Issued in TX
Practice address
7213 Spanish Wood Dr
Corpus Christi, TX 78414-6241
Phone
(361) 688-9272
NPI assigned
Jul 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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 1002006 TX Primary

Addresses

Primary practice location

7213 Spanish Wood Dr
Corpus Christi, TX 78414-6241

Mailing address

7213 Spanish Wood Dr
Corpus Christi, TX 78414-6241
Phone (361) 688-9272

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
I20210518002952 TX Practitioner - Nurse Practitioner 8426457748 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1002006TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QC Professional PLLC CurrentSince May 1, 2021 Accepting new patients
Rabagos Health Care PLLC CurrentSince May 10, 2022 Accepting new patients
QC Urgent Care PLLC CurrentSince Jul 12, 2023 Accepting new patients

Locations

7629 S Staples St
#106A
Corpus Christi, TX 78413

7629 S Staples St
Unit 106A
Corpus Christi, TX 78413
Phone (361) 888-2820

1290 FM 43
Ste J
Corpus Christi, TX 78415
Phone (361) 238-0015

7629 S Staples St
Ste 106A
Corpus Christi, TX 78413
Phone (361) 238-0015

500 E Caesar Ave
Kingsville, TX 78363
Phone (361) 516-0097

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1699392969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7213 SPANISH WOOD DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784146241",
            "telephone_number": "361-688-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7213 SPANISH WOOD DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784146241",
            "telephone_number": "361-688-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELO",
        "first_name": "MARCEL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1002006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.