CRYSTAL AMANDA BALDERAS (NP) – Acute Care Nurse Practitioner, NPI 1639878929

CRYSTAL AMANDA BALDERAS (NP) is a healthcare provider. based in Mcallen, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1110413 (TX). The NPI Number for CRYSTAL AMANDA BALDERAS (NP) is 1639878929

Main info

Female
4 Years Of Experience
Name
CRYSTAL AMANDA BALDERAS (NP)
NPI
1639878929
Phone
(956) 342-3405
Address
2905 ORIOLE AVE
Enumeration Date
27 February 2023
Last Update Date
27 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4697262287
Graduation Year
2022 (4 years ago)
PAC ID
4284070749
Group Practice PAC ID
7315276599
Professional Enrollment ID
I20240307001053
Address ID
TX752405795DA13154RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for CRYSTAL AMANDA BALDERAS (NP)

  • 2905 ORIOLE AVE

    MCALLEN, TX 785046016

    Phone: (956) 342-3405

    Mailing address matches the actual address.

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: 2024-03-07

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240307001053INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78504)

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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: 7315276599View full group profile
NameSpecialtyState
Family PracticeTX
Nurse PractitionerTX
-TX
Nurse PractitionerNV

Reviews

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Frequently asked questions

What is the 10-digit NPI for CRYSTAL AMANDA BALDERAS (NP)?
CRYSTAL AMANDA BALDERAS (NP) — NPI 1639878929 — is the standard way to identify this listing.
Does CMS list CRYSTAL AMANDA BALDERAS (NP) as active?
Yes — CRYSTAL AMANDA BALDERAS (NP) is active in the NPI listing used on this page.
What taxonomy line describes CRYSTAL AMANDA BALDERAS (NP)?
For research purposes, treat CRYSTAL AMANDA BALDERAS (NP) as Acute Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for CRYSTAL AMANDA BALDERAS (NP)?
CRYSTAL AMANDA BALDERAS (NP)'s geographic hint is Mcallen, Texas in our summary view.
Why does CRYSTAL AMANDA BALDERAS (NP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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