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NPI 1275210916ActiveIndividual· Nurse Practitioner, Obstetrics & Gynecology· Edinburg, TX
Nurse Practitioner, Obstetrics & Gynecology with Renaissance Medical Foundation, practicing in Edinburg, Texas. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1275210916 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 4, 2023 |
| Last updated in NPPES | Mar 31, 2025 |
| Certified by provider | Mar 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Obstetrics & Gynecology Primary | 363LX0001X | 1124375 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Renaissance Medical FoundationEdinburg, TX · 181 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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