Individual provider Active NPI

Thresiamma K Chacko, NP

  • Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1700316726
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP131168 Issued in TX
Practice address
205 E Toronto Ave
McAllen, TX 78503-1209
Phone
(956) 296-3990
Fax
(956) 665-6836
NPI assigned
Jun 13, 2017
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP131168 TX Primary

Addresses

Primary practice location

205 E Toronto Ave
McAllen, TX 78503-1209

Mailing address

PO Box 531968
Harlingen, TX 78553-1968
Phone (833) 887-4863

Other identifiers 2

IdentifierTypeStateIssuer
AP131168OtherTXMEDICAL LIC.
754320OtherREGISTERED NURSE

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
I20170630000802 TX Practitioner - Nurse Practitioner 4981973237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

205 E Toronto Ave
McAllen, TX 78503-1209
Phone (956) 296-3990

2810 W Expressway
83 Knapp Family Practice Residency Clinic
Mercedes, TX 78570
Phone (833) 887-4863

3804 S Jackson Rd
Edinburg, TX 78539-6682

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
72.49
Promoting interoperability
94
Improvement activities
40
Cost
68.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Rio Grande Healthcare, L.P. CurrentSince Dec 19, 2018 Accepting new patients
The University of Texas Rio Grande Valley CurrentSince Sep 1, 2024 Accepting new patients
Columbia Rio Grande Healthcare LP CurrentSince Dec 19, 2018 Accepting new patients
The University of Texas Rio Grande Valley Current Accepting new patients
University of Texas Rio Grande Valley CurrentSince Sep 1, 2024 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3804 S Jackson Rd
Ste 2
Edinburg, TX 78539
Phone (956) 296-1960

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

205 E Toronto Ave
McAllen, TX 78503
Phone (956) 296-3990

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1700316726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531968",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785531968",
            "telephone_number": "833-887-4863",
            "fax_number": "956-296-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E TORONTO AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031209",
            "telephone_number": "956-296-3990",
            "fax_number": "956-665-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "THRESIAMMA",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP131168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC.",
            "identifier": "AP131168",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "754320",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.