Neyssy Nelly Villarreal, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11258 Issued in TX

Practice address

613 Sugar Road
Edinburg, TX 78539

Phone

(956) 665-2511

Fax

(956) 665-2512

NPI assigned

Jul 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: neyssy.villarreal.1@25460.direct.athenahealth.com
• Direct secure messaging: nvillarreal67968@direct.utmb.edu

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.

• The University of Texas Rio Grande Valley

  • Internal Medicine Physician
  • Harlingen, TX
  • NPI 1477960730
  Medicare reassignment
• University of Texas Rio Grande Valley

  • Physiological Laboratory
  • Harlingen, TX
  • NPI 1689330649
  NPD (past)
• University of Texas Rio Grande Valley

  • Family Medicine Physician
  • Edinburg, TX
  • NPI 1811436504
  NPD (past)

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1821519224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W UNIVERSITY DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785392909",
            "telephone_number": "956-665-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 SUGAR ROAD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-665-2511",
            "fax_number": "956-665-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "NEYSSY",
        "middle_name": "NELLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11258",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA11258",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernanda Villarreal
• Jaime Villarreal Jr., M.D.
• Laura Zelda Villarreal, RDN, LD
• Lillian Grace Villarreal
• Maria Irene Villarreal, M.S., SLP-CCC
• Rachel Diane Villarreal, RD, CDE
• Raquel Irene Villarreal, LPC-S
• Ronaldo Aaron Villarreal, LPC
• Sandra Villarreal
• Selika Lynn Villarreal

• Physician Assistant in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.