MA LUISA CHUA MIRASOL (FNP-C) – Family Nurse Practitioner, NPI 1144814799
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MA LUISA CHUA MIRASOL (FNP-C)
PO BOX 746079
ATLANTA, GA 303746079
Phone:
Type: Mailing
5616 DURST LN
FORNEY, TX 751261937
Phone: (469) 432-7772
Type: Location
5616 Durst Ln
Forney, TX 751261937
Phone: (469) 432-7772
Type: Location
1515 S BUCKNER BLVD STE 141
DALLAS, TX 752171794
Phone: (214) 305-7065
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $218.
Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.
Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Novo Nordisk Inc ($107).
Total Amount
$218
General + Research + Ownership
Payments
12
Total payment records
General Amount
$218
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $107 |
| AstraZeneca Pharmaceuticals LP | $45 |
| Lilly USA, LLC | $32 |
| Organon LLC | $20 |
| Exact Sciences Corporation | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-08-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210814000139 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96161 | Administration and interpretation of caregiver-focused health risk assessment | 461 | 201 | $0 |
| 96160 | Administration and interpretation of patient-focused health risk assessment | 460 | 200 | $0 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 459 | 201 | $0 |
| 99497 | Advance care planning, first 30 minutes | 457 | 201 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 402 | 171 | $0 |
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| Internal Medicine | FL | |
| Family Practice | MN | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | MD | |
| Clinical Social Worker | FL |
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