Individual provider Active NPI

Mercy Abidoye - Fakoya, FNP

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1053702944
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127163 Issued in TX
Practice address
11665 S Highway 6
Sugar Land, TX 77498-1302
Phone
(832) 999-4306
NPI assigned
Feb 12, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 AP127163 TX Primary

Addresses

Primary practice location

11665 S Highway 6
Sugar Land, TX 77498-1302

Mailing address

11665 S Highway 6
Richmond, TX 77498-1302
Phone (832) 999-4306

Other practice location 1

12200 Overbrook Ln
33D
Houston, TX 77077-5937
Phone (917) 501-4824

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
I20251009001323 TX Practitioner - Nurse Practitioner 1557868163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3742 W 2150
Suite 150
Lehi, UT 84048-7802

7406 Shadow Terrace LN
Richmond, TX 77407-3094

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP127163TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalcare Health Services PC CurrentSince Sep 1, 2025 Accepting new patients
Wonder Weight Loss and Wellness Center PastSince Jul 24, 2022 Accepting new patients

Locations

207 E Parkerville Rd
Desoto, TX 75115
Phone (385) 454-5027

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

3742 W 2150 N
Ste 150
Lehi, UT 84048
Phone (385) 205-6486

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053702944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11665 S HIGHWAY 6",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774981302",
            "telephone_number": "832-999-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11665 S HIGHWAY 6",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774981302",
            "telephone_number": "832-999-4306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 Overbrook Ln",
            "address_2": "33D",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770775937",
            "country_code": "US",
            "telephone_number": "917-501-4824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABIDOYE - FAKOYA",
        "first_name": "MERCY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.