Elite Primary Care

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

ELITE PRIMARY CARE

Practice address

5520 Old Bullard Rd Ste 120
Tyler, TX 75703-4361

Phone

(903) 570-0453

Fax

(903) 817-4423

NPI assigned

Oct 15, 2025

Organization subpart

No

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

Authorized official

Name

Robin VillenaNPI 1366841942

Title

FNP-C

Phone

(903) 570-0453

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin Villena, ARPN

  • Primary Care Nurse Practitioner
  • Tyler, TX
  • NPI 1366841942
  Medicare reassignment NPD Authorized official
• Emily Brooke Dees

  • Psychiatric/Mental Health Nurse Practitioner
  • Tyler, TX
  • NPI 1831806439
  NPD

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1700752979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 OLD BULLARD RD STE 120",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034361",
            "telephone_number": "903-570-0453",
            "fax_number": "903-817-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 OLD BULLARD RD STE 120",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034361",
            "telephone_number": "903-570-0453",
            "fax_number": "903-817-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "VILLENA",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "903-570-0453"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherif Elhanafi, MD
• Rose Elia
• Elias I Fanous Jr MD PA
• Lawrence Paul Elikan, M.D.
• Elite Lab Services LLC
• Frances L. Elizondo, PA
• Gloria Maria Elizondo, MD
• Mayra Elizondo, FNP-C
• Amy Catherine Ellard, M.S., SLP-CFY
• Thomas O. Eller II, MD, FACP, CCDS

• Primary Care Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.