Gustavo Calvillo Jr., APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1019340 Issued in TX

Practice address

229 Parking Way St
Lake Jackson, TX 77566-5226

Phone

(979) 297-4066

NPI assigned

Jan 27, 2020

Last updated

Mar 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gus Calvillo Other name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Your Family Healthcare, LLCGroup PAC ID 0941583207, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Luke's Health Brazosport Hospital, Lake Jackson, TX, CCN 450072

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gustavo.calvillo.1@15750.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15750/brand/1/csg/1/fhir/r4

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.

• Your Family Healthcare, LLC

  • Primary Care Clinic/Center
  • Santa Fe, TX
  • NPI 1043757479

  Family

  Medicare reassignment Care Compare group NPD
• Urgencias Abc LLC

  • Family Medicine Physician
  • Houston, TX
  • NPI 1720730732
  NPD

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

• The Community Hospital of Brazosport

  dba Brazosport Memorial Hospital &Brazosport Regional Health System

  • General Acute Care Hospital
  • Lake Jackson, TX
  • NPI 1972581940
  Care Compare affiliation

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1700417011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 BROADWAY ST STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770123711",
            "telephone_number": "832-538-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 PARKING WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665226",
            "telephone_number": "979-297-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVILLO",
        "first_name": "GUSTAVO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1019340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUS",
            "last_name": "CALVILLO",
            "credential": "APRN-CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William E Burns Jr., M.D.
• Leah Lawan Burris
• Ambar R Bux, DO
• Brielle Byrd
• Jennifer Cain, M.A., LPC, LCDC
• Lauren Camille Capello, RD, CSSD
• Karina Castillo, DC
• April Christine Caudillo
• Philip Floyd Carpio Cauli, PHARMD, RPH
• Maritza Cervantes

• Family Nurse Practitioner in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.