Individual provider Active NPI

Elena Reyna, FNP-C

  • Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1700433125
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP142402 Issued in TX
Practice address
1710 E Saunders St Ste A140
Laredo, TX 78041-5447
Phone
(956) 796-3580
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 AP142402 TX Primary

Addresses

Primary practice location

1710 E Saunders St Ste A140
Laredo, TX 78041-5447

Mailing address

2815 S Jarvis Ave
Laredo, TX 78046-7278
Phone (956) 231-6096

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elena.reyna.1@1902.direct.athenahealth.com

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
I20200826002600 TX Practitioner - Nurse Practitioner 8527491000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1710 E Saunders St
Suite A140
Laredo, TX 78041-5447
Phone (956) 796-3580

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP142402TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Nurse Practitioner CurrentSince Aug 19, 2020 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Aug 19, 2020 Accepting new patients

Locations

1710 E Saunders St
Ste A140
Laredo, TX 78041
Phone (956) 794-8861

Interoperability endpoints

  • Direct secure messaging: elena.reyna.1@1902.direct.athenahealth.com

Organizations & group practices 2

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": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1700433125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S JARVIS AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780467278",
            "telephone_number": "956-231-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E SAUNDERS ST STE A140",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415447",
            "telephone_number": "956-796-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA",
        "first_name": "ELENA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elena.reyna.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1710 E Saunders St Ste A140",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780415447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.