Individual provider Active NPI

Heriberto Pina-Anaya, FNP-C

  • Family Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1922749217
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1094166 Issued in TX
Practice address
5115 N Eagle Nest Ave
Odessa, TX 79764-9304
Phone
(432) 269-2931
NPI assigned
Apr 2, 2022
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1094166 TX Primary
Registered Nurse 163W00000X 924633 TX

Addresses

Primary practice location

5115 N Eagle Nest Ave
Odessa, TX 79764-9304

Mailing address

5115 N Eagle Nest Ave
Odessa, TX 79764-9304
Phone (432) 269-2931

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
I20221224000047 TX Practitioner - Nurse Practitioner 0749619963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scotty Ortega MD LLPGroup PAC ID 2567742943, 12 clinicians

Practice addresses (Care Compare)

3001 N Faudree Rd
Odessa, TX 79765-8875
Phone (432) 332-1386

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
924633TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Scotty Ortega MD LLP CurrentSince Oct 1, 2022 Accepting new patients

Locations

2487 E 11th St
Odessa, TX 79761
Phone (432) 332-1386

3001 N Faudree Rd
Odessa, TX 79765
Phone (432) 332-1386

Organizations & group practices 1

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 2

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": "1648857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1922749217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 N EAGLE NEST AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797649304",
            "telephone_number": "432-269-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 N EAGLE NEST AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797649304",
            "telephone_number": "432-269-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINA-ANAYA",
        "first_name": "HERIBERTO",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1094166",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "924633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.