MRS. EDSEL ESTABILLO (MSN,APRN,FNP-C,CEN) – Family Nurse Practitioner, NPI 1174158604

MRS. EDSEL ESTABILLO (MSN,APRN,FNP-C,CEN) is a healthcare provider. based in Katy, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN,APRN,FNP-C,CEN. They hold a License No. AP145173 (TX). The NPI Number for MRS. EDSEL ESTABILLO (MSN,APRN,FNP-C,CEN) is 1174158604

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. EDSEL ESTABILLO (MSN,APRN,FNP-C,CEN)
NPI
1174158604
Phone
(732) 814-3009
Address
22327 SHELDONWOOD CT
Enumeration Date
5 March 2020
Last Update Date
3 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3465690515
Graduation Year
2021 (5 years ago)
PAC ID
8325477615
Group Practice PAC ID
4880071679
Professional Enrollment ID
I20200408000932
Address ID
TX770654302HO9606XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

22,440 NURSE PRACTITIONER in TX

Provider Addresses for MRS. EDSEL ESTABILLO (MSN,APRN,FNP-C,CEN)

  • 22327 SHELDONWOOD CT

    KATY, TX 774495387

    Phone: (732) 814-3009

    Type: Mailing

  • 104 7TH ST

    BAY CITY, TX 774144853

    Phone: (979) 245-6383

    Type: Location

  • 21708 Highway 288 Ste 103

    Manvel, TX 775784334

    Phone: (281) 607-1623

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-04-08

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200408000932INurse PractitionerTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2624$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1111$0
View full utilization report →

Insurance plans in this area (ZIP 77449)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880071679View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerNY
Nurse PractitionerMO
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows MRS. EDSEL ESTABILLO (MSN,APRN,FNP-C,CEN) across health systems?
The NPI 1174158604 uniquely identifies MRS. EDSEL ESTABILLO (MSN,APRN,FNP-C,CEN) in U.S. healthcare data.
Does the public listing show MRS. EDSEL ESTABILLO (MSN,APRN,FNP-C,CEN) as active?
MRS. EDSEL ESTABILLO (MSN,APRN,FNP-C,CEN)'s NPI record reflects an active status in NPPES.
Which specialty label fits MRS. EDSEL ESTABILLO (MSN,APRN,FNP-C,CEN)?
NPPES ties MRS. EDSEL ESTABILLO (MSN,APRN,FNP-C,CEN) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. EDSEL ESTABILLO (MSN,APRN,FNP-C,CEN)?
MRS. EDSEL ESTABILLO (MSN,APRN,FNP-C,CEN) shows a connection to Katy, Texas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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