Individual provider Active NPI

Yesenia Bazaldua, FNP-C

  • Family Nurse Practitioner
  • Henderson, TX
National Provider Identifier
1891400818
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1105854 Issued in TX
Practice address
1115 US Highway 259 S
Henderson, TX 75654-3629
Phone
(903) 392-8203
NPI assigned
Jan 16, 2023
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 1105854 TX Primary

Addresses

Primary practice location

1115 US Highway 259 S
Henderson, TX 75654-3629

Mailing address

300 N High St
Henderson, TX 75652-5908
Phone (903) 392-8203

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
I20230405000031 TX Practitioner - Nurse Practitioner 5294100285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1115 US Hwy 259 S
Henderson, TX 75654-3629
Phone (903) 392-8203

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Enterprise Community Health Clinic CurrentSince Jan 1, 2024 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2023 Accepting new patients
Mt Enterprise Community Health Clinic CurrentSince Jan 1, 2024 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2023 Accepting new patients
Mt Enterprise Community Health Clinic Current Accepting new patients
Starks Medical Past Accepting new patients

Locations

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

1115 US Highway 259 S
Henderson, TX 75654
Phone (903) 392-8203

300 N High St
Henderson, TX 75652
Phone (903) 392-8203

300 Wilson St
Henderson, TX 75652
Phone (903) 655-6536

4002 S Loop 256
Ste K
Palestine, TX 75801
Phone (903) 723-0600

Organizations & group practices 6

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.

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": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1891400818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N HIGH ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756525908",
            "telephone_number": "903-392-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 US HIGHWAY 259 S",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756543629",
            "telephone_number": "903-392-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZALDUA",
        "first_name": "YESENIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1105854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TX

Sources for this page

Verify at the official NPI Registry.