Individual provider Active NPI

Ana Luisa Guardiola, AFNP

  • Family Nurse Practitioner
  • Eagle Pass, TX
National Provider Identifier
1750098059
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1098462 Issued in TX
Practice address
1795 S Veterans Blvd
Eagle Pass, TX 78852-6746
Phone
(210) 625-2586
NPI assigned
Nov 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1098462 TX Primary

Addresses

Primary practice location

1795 S Veterans Blvd
Eagle Pass, TX 78852-6746

Mailing address

1795 S Veterans Blvd
Eagle Pass, TX 78852-6746
Phone (830) 421-5057

Other practice location 1

120 King St
Gonzales, TX 78629-3455
Phone (830) 421-5057

Other identifiers 1

IdentifierTypeStateIssuer
1098462OtherTXBOARD OF NURSING

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
I20230112002042 TX Practitioner - Nurse Practitioner 5092185868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1795 S Veterans Blvd
Suite a
Eagle Pass, TX 78852-6746
Phone (830) 421-5057

Hospital & facility affiliations

  • Maverick Home Health Agency Home health agency, Eagle Pass, TX, CCN 677144

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.68
Improvement activities
40
Cost
83.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Villanueva Family Practice PLLC Family CurrentSince Nov 18, 2022 Accepting new patients

Locations

1795 S Veterans Blvd
Ste A
Eagle Pass, TX 78852
Phone (830) 421-5057

1975 N Veterans Blvd
Ste 8
Eagle Pass, TX 78852
Phone (830) 421-5057

Interoperability endpoints

  • Direct secure messaging: ana.guardiola.1@27356.direct.athenahealth.com

Organizations & group practices 1

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 1

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": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1750098059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 S VETERANS BLVD",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788526746",
            "telephone_number": "830-421-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 S VETERANS BLVD",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788526746",
            "telephone_number": "210-625-2586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 King St",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "TX",
            "postal_code": "786293455",
            "country_code": "US",
            "telephone_number": "830-421-5057",
            "fax_number": "833-464-4427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUARDIOLA",
        "first_name": "ANA",
        "middle_name": "LUISA",
        "credential": "AFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1098462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "1098462",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

Verify at the official NPI Registry.