Individual provider Active NPI

Vanessa Elizalde, APRN-CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1760204689
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1179198 Issued in TX
Practice address
4539 N 22ND St Ste 4387
Phoenix, AZ 85016-4639
Phone
(480) 684-2595
Fax
(602) 887-3724
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1179198 TX Primary

Addresses

Primary practice location

4539 N 22ND St Ste 4387
Phoenix, AZ 85016-4639

Mailing address

104 Condor Dr
Los Fresnos, TX 78566-0190
Phone (832) 801-2348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250220002449 TX Practitioner - Nurse Practitioner 6608396692 Reassigns benefits to 4 organizations
I20250429003355 AZ Practitioner - Nurse Practitioner 6608396692 Reassigns benefits to 2 organizations
I20250609001217 VA Practitioner - Nurse Practitioner 6608396692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

13060 W Bell Rd
Surprise, AZ 85378-1200
Phone 8328694818235

2220 Edward Holland Dr
Richmond, VA 23230-2519
Phone 8328694818235

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone 8328694818235

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Mar 3, 2025 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Mar 3, 2025 Accepting new patients
Valley Med Urgent Care PLLC CurrentSince Jun 1, 2025 Accepting new patients
Normandy Urgent Care Center PA CurrentSince Jun 1, 2025 Accepting new patients
Normandy Urgent Care Center PA PastSince Jun 1, 2025 Accepting new patients

Locations

13060 W Bell Rd
Surprise, AZ 85378
Phone (623) 499-9100

12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999

800 E Alton Gloor Blvd
Brownsville, TX 78526
Phone 7138936214405

2534 Boca Chica Blvd
Brownsville, TX 78521
Phone (956) 546-2000

12221 Merit Dr
Ste 450
Dallas, TX 75251
Phone (214) 217-1900

2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (201) 706-1143

3100 Alliance Town Ctr
Fort Worth, TX 76177
Phone (409) 938-5166

3701 W Business 83
Harlingen, TX 78552
Phone (956) 444-0111

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

777 Post Oak Blvd
Ste 1700
Houston, TX 77056
Phone (615) 905-6944

7877 Willow Chase Blvd
Ste 201
Houston, TX 77070

779 Normandy St
Ste 114
Houston, TX 77015
Phone (713) 453-8900

16272 Imperial Valley Dr
Ste K
Houston, TX 77060
Phone (281) 405-6900

902 Frostwood Dr
Ste 201
Houston, TX 77024
Phone (713) 932-7872

23838 Highway 59 N
Kingwood, TX 77339
Phone (832) 869-4814

5441 Babcock Rd
Ste 102
San Antonio, TX 78240
Phone (210) 641-1394

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1760204689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CONDOR DR",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785660190",
            "telephone_number": "832-801-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST STE 4387",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164639",
            "telephone_number": "480-684-2595",
            "fax_number": "602-887-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZALDE",
        "first_name": "VANESSA",
        "credential": "APRN-CNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1179198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.