Individual provider Active NPI

Christine Mayer, FNP-C

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1033682844
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139099 Issued in TX
Practice address
12828 Eldorado Pkwy
Frisco, TX 75035-5883
Phone
(214) 550-0911
NPI assigned
Jan 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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 AP139099 TX Primary

Addresses

Primary practice location

12828 Eldorado Pkwy
Frisco, TX 75035-5883

Mailing address

12828 Eldorado Pkwy Ste 170
Frisco, TX 75035-5988
Phone (214) 550-0911

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
I20200108002811 TX Practitioner - Nurse Practitioner 9931534575

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12828 Eldorado Pkwy
Suite 170
Frisco, TX 75035-5988

1720 Commerce St
Garland, TX 75040-6710

3827 N Lafayette St
Denver, CO 80205-5089

PO Box
Suite 95590
South Jordan, UT 84095

Merit-based Incentive Payment System (MIPS)

Final score
56.11 of 100Reported as group
Quality
50.63
Improvement activities
40
Cost
27.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP139099TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth-Texas P a CurrentSince Mar 20, 2023 Accepting new patients
Citycare Clinic Past Accepting new patients

Locations

211 Highland Cross Dr
Houston, TX 77073
Phone (713) 422-2920

2201 N Central Expy
Ste 125
Richardson, TX 75080
Phone (214) 377-1790

Interoperability endpoints

  • Direct secure messaging: christine.mayer.1@13869.direct.athenahealth.com

Organizations & group practices 2

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": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1033682844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12828 ELDORADO PKWY STE 170",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355988",
            "telephone_number": "214-550-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 ELDORADO PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355883",
            "telephone_number": "214-550-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "CHRISTINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.