Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mayra Elizondo, FNP-C

Individual provider Family Nurse Practitioner · NPI 1073120762

Mayra Elizondo, FNP-C is a Nurse Practitioner in Tyler, Texas. Qualified in 2022, 4 years ago. Practices with Tyler Nephrology Associates PA, a 26-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2020
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1133 Medical Dr
Tyler, TX 75701-2130
Phone: (903) 595-5486
Fax: (903) 595-5128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 910 E Houston St Ste 330, Tyler, TX 75702-8368 — (903) 606-7995

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP1097801 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP1097801 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 944960 (TX)

Record details

NPI number1073120762
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 26, 2020
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tyler Nephrology Associates Pa — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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