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VERONICA RESENDEZ FNP
NPI 1316353634
Nurse Practitioner - Family in Mcallen, TX

Active since July 08, 2014PECOS Enrolled
6401 N 10TH ST STE 100, MCALLEN, TX 78504(956) 270-8668 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2024, Sep 11, 2019, Sep 6, 2019 and 1 more (4 updates tracked since 2019).

About Veronica Resendez Fnp NPPES

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

VERONICA RESENDEZ FNP (NPI 1316353634) is an individual family provider in Mcallen, Texas, licensed in Texas (AP126336) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316353634
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVERONICA RESENDEZCredential: FNP
Location Address6401 N 10TH ST STE 100Mcallen, TX 78504-3685
Mailing Address6401 N 10th St Ste 100Mcallen, TX 78504-3685 · (956) 270-8668
Phone(956) 270-8668
Sole ProprietorNo
Enumeration DateJuly 8, 2014
Last NPPES UpdateSeptember 23, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1316353634 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 · AP126336
6401 N 10TH ST STE 100, Mcallen, TX 78504
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11200 E Ridge Rd Ste 7McAllen, TX 78503-1528 · Phone (956) 270-8668
Location 2110 E Savannah Ave Bldg C103McAllen, TX 78503-1242 · Phone (956) 971-8800 · Fax (956) 971-8804

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Veronica Resendez Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Veronica Resendez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cornerstone Internal Medicine PLLC
2.1 mi
Internal Medicine
1309 E NOLANA AVE STE A
Mcallen, TX 78504
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1437591260 (956) 618-0348
Providence Medical And Geriatric Associates, PA
5.3 mi
General Practice
110 E SAVANNAH AVE, BLDG C SUITE 103
Mcallen, TX 78503
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1942409198 (956) 971-8800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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.

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 Veronica Resendez's NPI number?

The NPI number for Veronica Resendez is 1316353634. It was assigned to this individual provider in the NPPES registry on July 8, 2014.

Where is Veronica Resendez located?

Veronica Resendez practices at 6401 N 10th St Ste 100, Mcallen, TX 78504. The listed phone number is (956) 270-8668.

What is Veronica Resendez's specialty?

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

Is Veronica Resendez enrolled in Medicare?

Yes. Veronica Resendez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Veronica Resendez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Veronica Resendez reassigns Medicare benefits to 2 organizations: Cornerstone Internal Medicine PLLC (Mcallen, TX) and Providence Medical And Geriatric Associates, PA (Mcallen, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Veronica Resendez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Veronica Resendez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Veronica Resendez 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.

When was this NPI record last updated?

The NPPES record for Veronica Resendez was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.