Active NPI
Yesenia Bazaldua, FNP-C
- Family Nurse Practitioner
- Henderson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1105854
- Practice address
- 1115 US Highway 259 S
Henderson, TX 75654-3629 - Phone
- (903) 392-8203
- NPI assigned
- Jan 16, 2023
- Last updated
- Oct 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Enterprise Community Health Clinic | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Mt Enterprise Community Health Clinic | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | 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.
-
dba Crossroads Family Care
- Federally Qualified Health Center (FQHC)
- Henderson, TX
- NPI 1649412354
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1609382662
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
dba Crossroads Family Care
- Federally Qualified Health Center (FQHC)
- Palestine, TX
- NPI 1043741275
-
dba Crossroads Family Care - Henderson North
- Federally Qualified Health Center (FQHC)
- Henderson, TX
- NPI 1477383065
-
- Primary Care Nurse Practitioner
- Bullard, TX
- NPI 1306570593
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UTHealth East Texas Henderson Hospital
- General Acute Care Hospital
- Henderson, TX
- NPI 1326546797
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
- Aspire Center for Counseling & Consulting, PLLC.
- Assisted Living Concepts Inc (Azalea House)
- Audibel Hearing Center of Henderson
- Autumn Leaves Nursing and Rehab Inc
- A'Ndrea Danielle Bailey, COTA
- Miyosha Beechum, COTA
- Bethany Home Health of Henderson, LP
- Stanley Mark Bevis, APN
- Birthed to Care Inc (Atb Home Healthcare)
- Penny Blake, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.