Individual provider Active NPI

Jaime Rene Ynostroza, FNP

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1780156141
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08181230 Issued in TX
Practice address
1533 S Brownlee Blvd Ste 100
Corpus Christi, TX 78404-3131
Phone
(361) 884-2242
Fax
(512) 291-5657
NPI assigned
Dec 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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 F08181230 TX Primary

Addresses

Primary practice location

1533 S Brownlee Blvd Ste 100
Corpus Christi, TX 78404-3131

Mailing address

1533 S Brownlee Blvd Ste 100
Corpus Christi, TX 78404-3131
Phone (361) 779-7667

Other identifiers 1

IdentifierTypeStateIssuer
731696OtherTXLICENSE

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
I20190206000455 TX Practitioner - Nurse Practitioner 2567700149 Reassigns benefits to 1 organization

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
Lonestar Urgent Care LLCGroup PAC ID 2860868619, 7 clinicians

Practice addresses (Care Compare)

1702 Rodd Field Rd
Suite 105
Corpus Christi, TX 78412-5027
Phone (361) 816-9753

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F08181230TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Urgent Care LLC CurrentSince Sep 30, 2022 Accepting new patients

Locations

1702 Rodd Field Rd
Ste 105
Corpus Christi, TX 78412
Phone (361) 816-9753

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.

NPI Registry JSON

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1780156141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 S BROWNLEE BLVD STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043131",
            "telephone_number": "361-779-7667",
            "fax_number": "512-291-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 S BROWNLEE BLVD STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043131",
            "telephone_number": "361-884-2242",
            "fax_number": "512-291-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YNOSTROZA",
        "first_name": "JAIME",
        "middle_name": "RENE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-26",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F08181230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "731696",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.