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JOHN ANDREW BERLANGA
NPI 1730701723
Nurse Practitioner in Edinburg, TX

Active since May 12, 2020PECOS Enrolled
4931 S JACKSON RD, EDINBURG, TX 78539(956) 583-0095 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Andrew Berlanga NPPES

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

JOHN ANDREW BERLANGA (NPI 1730701723) is an individual nurse practitioner in Edinburg, Texas, licensed in Texas (AP145850) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mission, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1730701723
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJOHN ANDREW BERLANGA
Location Address4931 S JACKSON RDEdinburg, TX 78539-7228
Mailing Address4931 S Jackson RdEdinburg, TX 78539-7228
Phone(956) 583-0095
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 12, 2020
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1730701723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP145850
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4931 S JACKSON RD, Edinburg, TX 78539
Open in Google Maps ↗

Secondary Practice Location 1

Location 11300 S Bryan Rd Ste 106Mission, TX 78572-6688 · Phone (956) 583-0095

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 (PECOS)

John Andrew Berlanga is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931503323
PECOS Enrollment IDI20210806001561
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
221 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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 2

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

MOURAD MOUSA ALSABBAGH MD
Internal Medicine (Nephrology)
4931 S JACKSON RD
EDINBURG, TX 78539
Hidalgo County (956) 583-0095
JAZZMIN JARA
Physician Assistant (Medical)
4931 S JACKSON RD
EDINBURG, TX 78539
Hidalgo County (956) 583-0095

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 John Berlanga's NPI number?

The NPI number for John Berlanga is 1730701723. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Where is John Berlanga located?

John Berlanga practices at 4931 S Jackson Rd, Edinburg, TX 78539. The listed phone number is (956) 583-0095.

What is John Berlanga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is John Berlanga enrolled in Medicare?

Yes. John Berlanga is registered in the Medicare PECOS enrollment system.

What insurance does John Berlanga 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 John Berlanga 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 John Berlanga was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.