MRS. LORENA O'TOOLE DEL TORO PMHNP-BC
NPI 1609729201
Nurse Practitioner - Psychiatric/Mental Health in Donna, TX

Active since February 16, 2026PECOS Enrolled
307 N D SALINAS AVE STE D, DONNA, TX 78537(956) 464-2402 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Lorena O'toole Del Toro Pmhnp-bc NPPES

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

MRS. LORENA O'TOOLE DEL TORO PMHNP-BC (NPI 1609729201) is an individual psychiatric/mental health provider in Donna, Texas, licensed in Texas (1026603) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1609729201
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. LORENA O'TOOLE DEL TOROCredential: PMHNP-BC
Location Address307 N D SALINAS AVE STE DDonna, TX 78537-2929
Mailing Address307 N D Salinas Ave Ste DDonna, TX 78537-2929 · (956) 464-2402
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 16, 2026
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
✔ NPI 1609729201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1026603
307 N D SALINAS AVE STE D, Donna, TX 78537

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lorena O'toole Del Toro Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840768438
PECOS Enrollment IDI20260501000749, I20260919000508
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 Reassignment

Medicare enrollment records show Lorena Del Toro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
307 NORTH D SALINAS BLVD
Donna, TX 78537
  • Reassigned Medicare billing, Texas enrollment
  • 49 clinicians in this Medicare group

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 78537 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 4

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

Family Medicine (Geriatric Medicine)
307 N D SALINAS AVE STE D
DONNA, TX 78537
General Practice
307 N D SALINAS AVE STE D
DONNA, TX 78537
Family Medicine
307 N D SALINAS AVE STE D
DONNA, TX 78537
Family Medicine
307 N D SALINAS AVE STE D
DONNA, TX 78537

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 Lorena Del Toro's NPI number?

The NPI number for Lorena Del Toro is 1609729201. It was assigned to this individual provider in the NPPES registry on February 16, 2026.

Where is Lorena Del Toro located?

Lorena Del Toro practices at 307 N D Salinas Ave Ste D, Donna, TX 78537. The listed phone number is (956) 464-2402.

What is Lorena Del Toro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lorena Del Toro enrolled in Medicare?

Yes. Lorena Del Toro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lorena Del Toro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorena Del Toro reassigns Medicare benefits to Donna Medical Clinic, PLLC (Donna, TX). The 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 Lorena Del Toro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lorena Del Toro accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Lorena Del Toro 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 Lorena Del Toro was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.