Individual provider Active NPI

Mayra Derupe, FNP

  • Primary Care Nurse Practitioner
  • Mission, TX
National Provider Identifier
1942783410
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP138577 Issued in TX
Practice address
910 S Bryan Rd Ste 209
Mission, TX 78572-6659
Phone
(956) 424-1511
NPI assigned
Sep 11, 2018
Last updated
Sep 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP138577 TX Primary

Addresses

Primary practice location

910 S Bryan Rd Ste 209
Mission, TX 78572-6659

Mailing address

910 S Bryan Rd Ste 209
Mission, TX 78572-6659
Phone (956) 424-1511

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
I20181102001196 TX Practitioner - Nurse Practitioner 1254684509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silvia Castillo Sy MdpaGroup PAC ID 0547315590, 3 clinicians

Practice addresses (Care Compare)

910 S Bryan Rd
Suite 209
Mission, TX 78572-6659
Phone (956) 424-1511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP138577TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Gastroenterology Institute, PA CurrentSince Dec 5, 2023 Accepting new patients
Silvia Castillo Sy Mdpa CurrentSince Sep 13, 2018 Accepting new patients

Locations

110 E Savannah Ave
Bldg C101
McAllen, TX 78503
Phone (956) 686-2626

910 S Bryan Rd
Ste 209
Mission, TX 78572
Phone (956) 424-1511

1330 E 6th St
Ste 305
Weslaco, TX 78596
Phone (956) 447-3800

902 S Airport Dr
Ste 4
Weslaco, TX 78596
Phone (956) 331-8150

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBJDAD

Organizations & group practices 2

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": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1942783410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S BRYAN RD STE 209",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726659",
            "telephone_number": "956-424-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S BRYAN RD STE 209",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726659",
            "telephone_number": "956-424-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERUPE",
        "first_name": "MAYRA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP138577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.