Individual provider Active NPI

Elsie Manuel, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1013236652
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
532209 Issued in TX
Practice address
2740 N Hwy 360
Grand Prairie, TX 75050-6403
Phone
(972) 606-8300
Fax
(972) 606-8597
NPI assigned
May 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 532209 TX Primary

Addresses

Primary practice location

2740 N Hwy 360
Grand Prairie, TX 75050-6403

Mailing address

2740 N Hwy 360 Ste 100
Grand Prairie, TX 75050-6402
Phone (972) 606-8300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emanuel226513@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110310000195 TX Practitioner - Nurse Practitioner 1557543691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Sep 15, 2018 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 15, 2018 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

3095 Kingswood Blvd
Ste 250
Grand Prairie, TX 75052
Phone 2143582300 ext. 6225

2740 N State Highway 360
Ste 100
Grand Prairie, TX 75050
Phone 9726068300 ext. 266

2210 N State Highway 360
Grand Prairie, TX 75050
Phone (972) 606-8300

925 E Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (817) 912-8560

Interoperability endpoints

  • Direct secure messaging: emanuel226513@direct.sw.org
  • Direct secure messaging: elsiemanuel@owe.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1013236652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 N HWY 360 STE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750506402",
            "telephone_number": "972-606-8300",
            "fax_number": "972-606-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 N HWY 360",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750506403",
            "telephone_number": "972-606-8300",
            "fax_number": "972-606-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "ELSIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-21",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "532209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emanuel226513@direct.sw.org",
            "affiliation": "N",
            "address_1": "2740 N Hwy 360",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750506403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.