Individual provider Active NPI

Iryna Mykytyuk Mego

  • Family Nurse Practitioner
  • Mission, TX
National Provider Identifier
1790148484
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130376 Issued in TX
Practice address
1317 St Claire Blvd Ste A5
Mission, TX 78572-6636
Phone
(956) 997-6000
Fax
(956) 997-0614
NPI assigned
Mar 31, 2016
Last updated
Oct 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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 AP130376 TX Primary

Addresses

Primary practice location

1317 St Claire Blvd Ste A5
Mission, TX 78572-6636

Mailing address

2003 Cascade Ave
Edinburg, TX 78539-1831
Phone (956) 225-7723

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
I20211110000637 TX Practitioner - Nurse Practitioner 3476942616 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RGV Vascular & Vein Institute PLLC CurrentSince May 25, 2024 Accepting new patients
RGV Vascular & Vein at Edinburg CurrentSince May 1, 2024 Accepting new patients
South Texas Vascular and Heart Institute PA CurrentSince Aug 3, 2021 Accepting new patients

Locations

1621 S Closner Blvd
Edinburg, TX 78539
Phone (956) 378-6000

1317 St Claire Blvd
Ste A5
Mission, TX 78572
Phone (956) 212-3853

910 E 8th St
Ste 10
Weslaco, TX 78596
Phone (956) 733-7000

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, 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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1790148484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 CASCADE AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391831",
            "telephone_number": "956-225-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 ST CLAIRE BLVD STE A5",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726636",
            "telephone_number": "956-997-6000",
            "fax_number": "956-997-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGO",
        "first_name": "IRYNA",
        "middle_name": "MYKYTYUK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.