Individual provider Active NPI

Isaacc Guillermo Nino, APRN, FNP-BC

  • Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1740767177
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP138261 Issued in TX
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

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
403739202MedicaidTX
H08LW21601OtherTXBCBS

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
I20190801001364 TX Practitioner - Nurse Practitioner 5395071005 Reassigns benefits to 3 organizations

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
Raul a. Marquez, MD PAGroup PAC ID 8123007887, 8 clinicians

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

LicenseStateTypeSpecialty
736520TXMDRegistered Nurse
AP138261TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Aug 17, 2019 Accepting new patients
Raul a. Marquez, MD PA CurrentSince Jan 1, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Aug 17, 2019 Accepting new patients
Vpa of Texas PLLC CurrentSince Aug 17, 2019 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.

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

Verify at the official NPI Registry.