Individual provider Active NPI

Prudence Cornelius Oppong, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1013550037
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142558 Issued in TX
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

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200407002738 TX Practitioner - Nurse Practitioner 3971932211 Reassigns benefits to 6 organizations

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
Minuteclinic Diagnostic of Texas PLLCGroup PAC ID 7416039177, 253 clinicians

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

LicenseStateTypeSpecialty
F0319036BTXMDFamily Medicine Physician
1013550037TXMDFamily Nurse Practitioner
AP142558TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC CurrentSince Jan 5, 2021 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Apr 17, 2023 Accepting new patients
Concord Medical Group PLLC CurrentSince Jan 5, 2021 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family Medicine CurrentSince Apr 17, 2023 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Apr 17, 2023 Accepting new patients
Vanguard Inpatient Physicians, PLLC CurrentSince Feb 1, 2023 Accepting new patients
Minuteclinic Primary Care Texas PLLC Family CurrentSince Oct 11, 2025 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.

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

Verify at the official NPI Registry.