Individual provider Active NPI

Annabelle Delos Reyes Baldado, FNP

  • Family Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1801437017
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142690 Issued in TX
Practice address
1018 Beech Ave Ste 100
McAllen, TX 78501-4547
Phone
(956) 800-5171
Fax
(956) 800-5178
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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 AP142690 TX Primary

Addresses

Primary practice location

1018 Beech Ave Ste 100
McAllen, TX 78501-4547

Mailing address

1018 Beech Ave Ste 100
McAllen, TX 78501-4547
Phone (956) 800-5171

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
I20191122001997 TX Practitioner - Nurse Practitioner 9830521277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ivana Enterprises IncGroup PAC ID 5799064960, 4 clinicians
Integral Health Clinic LLCGroup PAC ID 7214476357, 4 clinicians

Practice addresses (Care Compare)

1018 Beech Ave
Suite 100
McAllen, TX 78501-4547
Phone (956) 800-5171

300 E Nolana Loop
Suite B
Pharr, TX 78577-9684
Phone (210) 605-3399

Hospital & facility affiliations

  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP142690TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Health Clinic LLC CurrentSince Nov 1, 2024 Accepting new patients
CRS Medical, PLLC Family CurrentSince Oct 1, 2019 Accepting new patients
Ivana Enterprises, Inc CurrentSince Oct 1, 2019 Accepting new patients

Locations

1018 Beech Ave
Ste 100
McAllen, TX 78501
Phone (956) 566-8655

300 E Nolana Loop
#B
Pharr, TX 78577
Phone (210) 605-3399

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.

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1801437017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 BEECH AVE STE 100",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014547",
            "telephone_number": "956-800-5171",
            "fax_number": "956-800-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 BEECH AVE STE 100",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014547",
            "telephone_number": "956-800-5171",
            "fax_number": "956-800-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDADO",
        "first_name": "ANNABELLE",
        "middle_name": "DELOS REYES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.