Active NPI
Prudence Cornelius Oppong, FNP
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP142558
- Practice address
- 15010 Memorial Dr
Houston, TX 77079-4302 - Phone
- (281) 238-7870
- NPI assigned
- Oct 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F0319036B | TX | |
| Family Nurse Practitioner | 363LF0000X | 1013550037 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP142558 | TX | Primary |
Addresses
Primary practice location
15010 Memorial Dr
Houston, TX 77079-4302
Mailing address
15010 Memorial Dr
Houston, TX 77079-4302
Phone (281) 238-7870
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15010 Memorial Dr
Houston, TX 77079-4302
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0319036B | TX | MD | Family Medicine Physician |
| 1013550037 | TX | MD | Family Nurse Practitioner |
| AP142558 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Minuteclinic Diagnostic of Texas PLLC | Current | Accepting new patients | |
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Minuteclinic Telehealth Services of Texas Association | Family Medicine | Current | Accepting new patients |
| Minuteclinic Diagnostic of Texas PLLC | Family | Current | Accepting new patients |
| Vanguard Inpatient Physicians, PLLC | Current | Accepting new patients | |
| Minuteclinic Primary Care Texas PLLC | Family | Current | Accepting new patients |
Locations
1540 E Main St
Allen, TX 75002
Phone (214) 383-9765
5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820
1001 W Baker Rd
Ste 100
Baytown, TX 77521
Phone (281) 427-6525
601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862
11661 Preston Rd
Ste 218
Dallas, TX 75230
Phone (214) 363-1571
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
2469 Bay Area Blvd
Houston, TX 77058
Phone (281) 474-4042
5402 Westheimer Rd
Ste K
Houston, TX 77056
Phone (713) 877-1479
1003 Richmond Ave
Houston, TX 77006
Phone (713) 807-8491
4560 FM 1960 Rd W
Ste 101
Houston, TX 77069
Phone (281) 444-0000
15010 Memorial Dr
Houston, TX 77079
Phone (281) 238-7870
3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964
5002 W Main St
League City, TX 77573
Phone (281) 557-4374
1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001
2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846
2900 Broadway St
Pearland, TX 77581
Phone (281) 997-4400
9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151
1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268
1301 N Saginaw Blvd
Saginaw, TX 76179
Phone (817) 676-4362
5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311
16515 Lexington Blvd
Sugar Land, TX 77479
Phone (281) 980-6666
4645 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (281) 565-1112
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 7
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.
-
- Family Nurse Practitioner
- Round Rock, TX
- NPI 1609076330
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
- Family Nurse Practitioner
- Spring, TX
- NPI 1710794292
-
- Family Nurse Practitioner
- Round Rock, TX
- NPI 1922564301
Family Medicine
-
- Internal Medicine Physician
- Sugar Land, TX
- NPI 1801339742
-
- Clinical Social Worker
- Katy, TX
- NPI 1740898188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1013550037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15010 MEMORIAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770794302",
"telephone_number": "281-238-7870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15010 MEMORIAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770794302",
"telephone_number": "281-238-7870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPPONG",
"first_name": "PRUDENCE",
"middle_name": "CORNELIUS",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-22",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F0319036B",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1013550037",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP142558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.