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ERLINDA ABANTAO
NPI 1124535257
Nurse Practitioner - Family in Mcallen, TX

Active since January 10, 2018PECOS EnrolledAccepts Medicare Assignment
1801 S 5TH ST STE 215, MCALLEN, TX 78503(956) 630-7788(956) 229-6180 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 15, 2020, Mar 19, 2018, Jan 10, 2018 (3 updates tracked since 2018).

About Erlinda Abantao NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERLINDA ABANTAO (NPI 1124535257) is an individual family provider in Mcallen, Texas, licensed in Texas (AP134990) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and maintains a secondary practice location in Mcallen.

NPPES Registry Identity

NPI1124535257
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERLINDA ABANTAO
Location Address1801 S 5TH ST STE 215Mcallen, TX 78503-2932
Mailing AddressPo Box 3046Malvern, PA 19355-0746 · (956) 631-0393 · Fax (956) 682-4689
Phone(956) 630-7788
Fax(956) 229-6180
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 10, 2018
Last NPPES UpdateOctober 15, 20203 updates tracked since enumeration
NPPES CertifiedOctober 15, 2020
✔ NPI 1124535257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP134990
1801 S 5TH ST STE 215, Mcallen, TX 78503
Open in Google Maps ↗

Secondary Practice Location 1

Location 11800 S 5th St Ste 120McAllen, TX 78503-2909 · Phone (956) 631-0393 · Fax (956) 682-4689

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erlinda Abantao is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476814708
PECOS Enrollment IDI20180302000096
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
39 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDROS LAZAROS GEORGIADIS MD
Psychiatry & Neurology (Neurology)
1801 S 5TH ST STE 215
MCALLEN, TX 78503
Hidalgo County (956) 630-7788

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erlinda Abantao's NPI number?

The NPI number for Erlinda Abantao is 1124535257. It was assigned to this individual provider in the NPPES registry on January 10, 2018.

Where is Erlinda Abantao located?

Erlinda Abantao practices at 1801 S 5th St Ste 215, Mcallen, TX 78503. The listed phone number is (956) 630-7788.

What is Erlinda Abantao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Erlinda Abantao enrolled in Medicare?

Yes. Erlinda Abantao is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Erlinda Abantao accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Erlinda Abantao as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Erlinda Abantao affiliated with any hospitals?

According to CMS data, Erlinda Abantao is affiliated with South Texas Health System.

When was this NPI record last updated?

The NPPES record for Erlinda Abantao was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.