Individual provider Active NPI

Victor H. Estupinan, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1699559351
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1131893 Issued in TX
Practice address
2105 Sandstone CT Ste a
Mansfield, TX 76063-5083
Phone
(817) 264-7026
Fax
(817) 259-2696
NPI assigned
Aug 23, 2023
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1131893 TX Primary

Addresses

Primary practice location

2105 Sandstone CT Ste a
Mansfield, TX 76063-5083

Mailing address

2105 Sandstone CT Ste a
Mansfield, TX 76063-5083
Phone (817) 264-7026

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
I20240701002180 TX Practitioner - Nurse Practitioner 0749724888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Health My Resources of Tarrant CountyGroup PAC ID 6406755693, 44 clinicians

Practice addresses (Care Compare)

3840 Hulen St
Fort Worth, TX 76107-7277
Phone (817) 569-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valor Wellness and Salud Mental Services LLC Psychiatric/Mental Health CurrentSince Dec 14, 2024 Accepting new patients
My Health My Resources of Tarrant County CurrentSince Apr 30, 2025 Accepting new patients
MD Trucare PA CurrentSince Jun 1, 2024 Accepting new patients

Locations

10640 N Riverside Dr
Ste 300
Fort Worth, TX 76244
Phone (817) 722-6078

3840 Hulen St
Ft Worth, TX 76107
Phone (817) 569-4395

823 Ira E Woods Ave
Ste 200
Grapevine, TX 76051
Phone (817) 421-9999

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJHDBD

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": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1699559351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 SANDSTONE CT STE A",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635083",
            "telephone_number": "817-264-7026",
            "fax_number": "817-259-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 SANDSTONE CT STE A",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635083",
            "telephone_number": "817-264-7026",
            "fax_number": "817-259-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTUPINAN",
        "first_name": "VICTOR",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-23",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1131893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.