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Active NPI 1073120762 Individual Practitioner Female Practitioner

Mayra Elizondo , FNP-C

Nurse Practitioner • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mayra Elizondo, FNP-C is a certified Nurse Practitioner practicing in Tyler, TX. With approximately 4 years of clinical experience since completing medical education in 2022, Mayra Elizondo delivers high-quality medical care to the local community at 1133 MEDICAL DR.

Mayra Elizondo is affiliated with Tyler Nephrology Associates Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1133 Medical Dr

Tyler, TX 757012130

Telephone 9035955486
Fax 9035955128
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tyler, TX

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -5.7 yrs vs City Avg
City Avg: 9.7 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
148 Specialists

Practicing in Tyler, TX (4894 Statewide)

Telehealth Adoption Rate
11.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Elizondo (4 Years) 4 Yrs
Tyler Specialty Average (9.7 Years) 9.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
114 103 $200.00 $82.50
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
95 86 $35.00 $13.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
37 37 $200.00 $102.40
G0420 Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour
21 14 $175.00 $88.31

Medical Specialties & State Licenses

CMS Verified: 2026-02-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP1097801

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX AP1097801

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License TX 944960

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rn
944960 (TX)

Hospital & Practice Group Affiliations

Tyler Nephrology Associates Pa

1133 Medical Dr, Tyler, TX 757012130

Phone: 9035955486

Secondary Practice Locations

910 E Houston St Ste 330

Tyler, TX 757028368

Phone: 9036067995

Practice Associates & Co-Workers

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

30 Associated Practitioners
Dr. Ifeatu Oti , MD

Internal Medicine - Nephrology

NPI 1003087388

Doctor of Medicine (M.D.)

Dr. Nabeel Ahmed , MD

Internal Medicine - Nephrology

NPI 1003965906

Doctor of Medicine (M.D.)

Dr. Mingiziem Emiru , MD

Internal Medicine - Nephrology

NPI 1023167095

Doctor of Medicine (M.D.)

Dr. Charles Orji , MD

Internal Medicine - Nephrology

NPI 1033268628

Doctor of Medicine (M.D.)

David Beck , PA

Physician Assistant

NPI 1124058524

Physician Assistant

Alice Thomas , APRN, FNP-C

Nurse Practitioner

NPI 1164965695

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2026

Nurse Practitioner (License #AP1097801 in TX)

📍
Updated Practice Location May 04, 2023

Registered at 1133 MEDICAL DR, TYLER, TX 757012130 (Tel: 9035955486)

📍
Updated Business Mailing Address May 04, 2023

Registered at 1133 MEDICAL DR, TYLER, TX 757012130 (Tel: 9035955486)

👤
Provider Name / Credentials Updated November 14, 2022

Recorded as MAYRA ELIZONDO, FNP-C

NPI Profile Active September 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2020

Registered at 11147 STUART ST, BROWNSBORO, TX 757566092 (Tel: 9037527896)

📍
Updated Business Mailing Address September 26, 2020

Registered at 11147 STUART ST, BROWNSBORO, TX 757566092 (Tel: 9037527896)

👤
Provider Name / Credentials Updated September 26, 2020

Recorded as MAYRA ELIZONDO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2020

Registered Nurse (License #944960 in TX)

🟢
Initial NPI Registration & Enumeration September 26, 2020

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: 1073120762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2020
Last Update: February 23, 2026
Sole Proprietor: No

Mailing Address

1133 Medical Dr

Tyler, TX 757012130

Phone: 9035955486

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.