Individual provider Active NPI

Mariel Eloisa Yumul, FNP

  • Primary Care Nurse Practitioner
  • Bedford, TX
National Provider Identifier
1780555201
Registry record updated May 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1191094 Issued in TX
Practice address
2721 Central Dr
Bedford, TX 76021-4810
Phone
(682) 703-8881
Fax
(706) 203-3259
NPI assigned
Sep 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X 1191094 TX Primary

Addresses

Primary practice location

2721 Central Dr
Bedford, TX 76021-4810

Mailing address

2721 Central Dr
Bedford, TX 76021-4810
Phone (682) 703-8881

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
I20260407000957 TX Practitioner - Nurse Practitioner 0547735656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medi- Elite, PCGroup PAC ID 0648594309, 3 clinicians

Practice addresses (Care Compare)

2721 Central Dr
Bedford, TX 76021-4810
Phone (214) 277-2243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1191094TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desoto Healthcare Clinic LLC Multi-Specialty CurrentSince Sep 21, 2025 Accepting new patients
Happy Bridge Primary Care & Home Health PLLC Multi-Specialty CurrentSince Nov 6, 2025 Accepting new patients
Medi- Elite, PC Multi-Specialty CurrentSince Feb 28, 2026 Accepting new patients

Locations

2721 Central Dr
Bedford, TX 76021
Phone (214) 277-2243

860 Hebron Pkwy
Ste 704
Lewisville, TX 75057
Phone (214) 777-2703

Organizations & group practices 3

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": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1780555201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 CENTRAL DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214810",
            "telephone_number": "682-703-8881",
            "fax_number": "706-203-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 CENTRAL DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214810",
            "telephone_number": "682-703-8881",
            "fax_number": "706-203-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUMUL",
        "first_name": "MARIEL",
        "middle_name": "ELOISA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1191094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.