Individual provider Active NPI

Lilian Jennifer Caballero, NP

  • Family Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1871308684
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1179047 Issued in TX
Practice address
5018 Enclave CT
McKinney, TX 75072-5394
Phone
(469) 238-9311
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 1179047 TX Primary

Addresses

Primary practice location

5018 Enclave CT
McKinney, TX 75072-5394

Mailing address

5018 Enclave CT
McKinney, TX 75072-5394
Phone (469) 238-9311

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
I20250923004051 TX Practitioner - Nurse Practitioner 3779088570 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
Collin Medical and Wellness Group PLLCGroup PAC ID 4587080593, 3 clinicians

Practice addresses (Care Compare)

307 S McDonald St
Suite 500
McKinney, TX 75069-5625
Phone (469) 270-7854

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1179047TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Collin Medical & Wellness Group PLLC Family CurrentSince Sep 10, 2025 Accepting new patients
Crystal Mind Psychiatry and Counseling CurrentSince Sep 10, 2025 Accepting new patients
Scepter Health Resources LLC PastSince Nov 1, 2019 Accepting new patients

Locations

307 S McDonald St
Ste 500
McKinney, TX 75069
Phone (469) 202-7572

9400 Lakeview Pkwy
Ste 111
Rowlett, TX 75088
Phone (469) 270-7854

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25728/brand/1/csg/1/fhir/r4

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": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1871308684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 ENCLAVE CT",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750725394",
            "telephone_number": "469-238-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 ENCLAVE CT",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750725394",
            "telephone_number": "469-238-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "LILIAN",
        "middle_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1179047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.