MARIELA OLMEDO FNP-C
NPI 1689442774
Nurse Practitioner - Family in Tyler, TX
About Mariela Olmedo Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIELA OLMEDO FNP-C (NPI 1689442774) is an individual family provider in Tyler, Texas, licensed in Texas (F08230579) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Mariela Olmedo Fnp-c 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ut Health East Texas Tyler Regional Hospital
Acute Care Hospitals · Tyler, TXChristus Mother Frances Hospital
Acute Care Hospitals · Tyler, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mariela Olmedo's NPI number?
The NPI number for Mariela Olmedo is 1689442774. It was assigned to this individual provider in the NPPES registry on December 18, 2023.
Where is Mariela Olmedo located?
Mariela Olmedo practices at 2115 S Broadway Ave, Tyler, TX 75701. The listed phone number is (903) 907-7002.
What is Mariela Olmedo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mariela Olmedo enrolled in Medicare?
Yes. Mariela Olmedo 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.
Is Mariela Olmedo affiliated with any hospitals?
According to CMS data, Mariela Olmedo is affiliated with Ut Health East Texas Tyler Regional Hospital and Christus Mother Frances Hospital.
When was this NPI record last updated?
The NPPES record for Mariela Olmedo was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mariela Olmedo, FNP-C · NPI 1689442774
Family physician in Tyler, Texas. Individual provider, active in the CMS NPPES registry since December 18, 2023.
## Identity
- **NPI:** 1689442774 (Entity type: Individual)
- **Enumerated:** December 18, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F08230579 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2115 S BROADWAY AVE, Tyler, TX 75701-4214
- **Phone:** (903) 907-7002 · **Fax:** (903) 408-6592
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689442774) · Data from the CMS NPPES public registry.