Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427561216 Individual Practitioner Female Practitioner

Melina Moncivaiz , APN

Nurse Practitioner - Pediatrics • Houston, TX

Professional Overview & Biography Verified Profile Summary

Melina Moncivaiz, APN is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Houston, TX. Practice services are available at 4211 WATONGA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4211 Watonga Blvd

Houston, TX 770925324

Telephone 8325485000
Fax 2816252051
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.4 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
312 Specialists

Practicing in Houston, TX (2253 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-01
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX 1016766

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License IL 209-016879

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PENDING (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Teandra Gordon , LMFT

Marriage & Family Therapist

NPI 1003186164

Licensed Marriage and Family Therapist

Debbie Pren , FNP

Nurse Practitioner - Family

NPI 1003316258

Family Nurse Practitioner

Anisleidys Rivero , LPC

Counselor - Professional

NPI 1003449281

Licensed Professional Counselor

NPI 1003827619

Doctor of Dental Surgery

Monica Salinas-Osuna

Social Worker - Clinical

NPI 1013494475
Roxann Rodriguez , LCSW

Social Worker - Clinical

NPI 1013675511

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 01, 2021

Registered at 4211 WATONGA BLVD, HOUSTON, TX 770925324 (Tel: 8325485000)

📍
Updated Business Mailing Address July 01, 2021

Registered at PO BOX 66308, HOUSTON, TX 772666308 (Tel: 8325485000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2021

Nurse Practitioner (License #1016766 in TX)

👤
Provider Name / Credentials Updated March 18, 2020

Recorded as MELINA MONCIVAIZ, APN

NPI Profile Active November 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2017

Registered at 2750 11TH ST, ROCK ISLAND, IL 612015216 (Tel: 5633363000)

📍
Updated Business Mailing Address November 15, 2017

Registered at 500 W RIVER DR, DAVENPORT, IA 528011014 (Tel: 5633363000)

👤
Provider Name / Credentials Updated November 15, 2017

Recorded as MELINA GONZALEZ, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2017

Nurse Practitioner (License #209-016879 in IL)

🟢
Initial NPI Registration & Enumeration November 15, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427561216
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2017
Last Update: July 01, 2021
Sole Proprietor: No

Mailing Address

Po Box 66308

Houston, TX 772666308

Phone: 8325485000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.