Active NPI
Isaacc Guillermo Nino, APRN, FNP-BC
- Nurse Practitioner
- Edinburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP138261
- Practice address
- 3804 S. Jackson Rd., Ste. #1
Edinburg, TX 78539-6101 - Phone
- (956) 296-3001
- Fax
- (956) 396-3000
- NPI assigned
- Jul 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 736520 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP138261 | TX | |
| Nurse Practitioner | 363L00000X | AP138261 | TX | Primary |
Addresses
Primary practice location
3804 S. Jackson Rd., Ste. #1
Edinburg, TX 78539-6101
Mailing address
602 Coffee Mill Dr
Edinburg, TX 78541-1310
Phone (956) 878-2160
Other practice location 1
602 Coffee Mill Dr
Edinburg, TX 78541-1310
Phone (956) 878-2160
Other practice location 2
1005 E Nolana Ave
McAllen, TX 78504-6101
Phone (956) 686-6510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403739202 | Medicaid | TX | |
| H08LW21601 | Other | TX | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2402 Cornerstone Blvd
Edinburg, TX 78539-8462
Phone (956) 668-0060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 736520 | TX | MD | Registered Nurse |
| AP138261 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Raul a. Marquez, MD PA | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| The University of Texas Rio Grande Valley | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| University of Texas Rio Grande Valley | Past | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
2402 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 618-4444
3804 S Jackson Rd
Ste 1
Edinburg, TX 78539
Phone (956) 296-3001
2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831
Organizations & group practices 7
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.
-
dba Orthopedics Surgery Center and Sports Medicine
- Adult Reconstructive Orthopaedic Surgery Physician
- Edinburg, TX
- NPI 1366557548
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
Nurse Practitioner
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Irving, TX
- NPI 1679510499
-
dba UT Health RGV
- Internal Medicine Physician
- Harlingen, TX
- NPI 1477960730
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1578175865
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Irving, TX
- NPI 1942829155
-
- Physiological Laboratory
- Harlingen, TX
- NPI 1689330649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1740767177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 COFFEE MILL DR",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785411310",
"telephone_number": "956-878-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3804 S. JACKSON RD., STE. #1",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785396101",
"telephone_number": "956-296-3001",
"fax_number": "956-396-3000"
}
],
"practiceLocations": [
{
"address_1": "602 Coffee Mill Dr",
"address_purpose": "LOCATION",
"city": "Edinburg",
"state": "TX",
"postal_code": "785411310",
"country_code": "US",
"telephone_number": "956-878-2160",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1005 E Nolana Ave",
"address_purpose": "LOCATION",
"city": "McAllen",
"state": "TX",
"postal_code": "785046101",
"country_code": "US",
"telephone_number": "956-686-6510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NINO",
"first_name": "ISAACC",
"middle_name": "GUILLERMO",
"credential": "APRN, FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-27",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "736520",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP138261",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP138261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403739202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "H08LW21601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.