Individual provider Active NPI

Michael Pacifico Conde, NP

  • Acute Care Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1033716022
Registry record updated Oct 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP145824 Issued in TX
Practice address
22999 Highway 59 N
Kingwood, TX 77339-4412
Phone
(281) 348-8000
NPI assigned
Oct 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP145824 TX Primary

Addresses

Primary practice location

22999 Highway 59 N
Kingwood, TX 77339-4412

Mailing address

20806 Quartz Creek LN
Humble, TX 77338-1478
Phone (832) 768-8454

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
I20220427002129 TX Practitioner - Nurse Practitioner 0143617829 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP145824TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Intensivists PLLC CurrentSince Sep 6, 2023 Accepting new patients
Pulmonary Critical Care and Sleep Specialists, P.a PastSince Feb 19, 2023 Accepting new patients

Locations

451 Kingwood Medical Dr
Ste 100
Kingwood, TX 77339
Phone (281) 318-2043

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

Interoperability endpoints

  • Direct secure messaging: michael.conde@hca9.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCHJAA

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": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1033716022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20806 QUARTZ CREEK LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773381478",
            "telephone_number": "832-768-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394412",
            "telephone_number": "281-348-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDE",
        "first_name": "MICHAEL",
        "middle_name": "PACIFICO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-03",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP145824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.