Individual provider Active NPI

Andres Soto Reyes, FNP

  • Primary Care Nurse Practitioner
  • Temple, TX
National Provider Identifier
1811884265
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1204789 Issued in TX
Practice address
1005 Marlandwood Rd Ste 102
Temple, TX 76502-3331
Phone
(866) 935-9283
NPI assigned
Jun 19, 2025
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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 Practitioner 363LP2300X 1204789 TX Primary

Addresses

Primary practice location

1005 Marlandwood Rd Ste 102
Temple, TX 76502-3331

Mailing address

1211 S 6TH St
Temple, TX 76504-5926
Phone (254) 541-5861

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
I20251003001662 TX Practitioner - Nurse Practitioner 7214433663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians

Practice addresses (Care Compare)

2511 Trimmier Rd
Suite 160
Killeen, TX 76542-1926
Phone (254) 312-4009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1204789TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Wound and Skin Care Inc CurrentSince Jul 12, 2025 Accepting new patients
Total MD Physicians Group, PLLC CurrentSince Oct 15, 2025 Accepting new patients

Locations

2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272

4301 W William Cannon Dr
#300
Austin, TX 78749
Phone (512) 222-8868

500 Canyon Ridge Dr
Ste B300
Austin, TX 78753
Phone (512) 200-2369

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

2511 Trimmier Rd
Ste 160
Killeen, TX 76542
Phone (254) 312-4009

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

603 Louis Henna Blvd
Ste B140
Round Rock, TX 78664
Phone (512) 200-2269

Organizations & group practices 2

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": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1811884265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S 6TH ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765045926",
            "telephone_number": "254-541-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MARLANDWOOD RD STE 102",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023331",
            "telephone_number": "866-935-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO REYES",
        "first_name": "ANDRES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1204789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.