Individual provider Active NPI

Evgeniya Muzhetskaya, NP

  • Acute Care Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1053835686
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP135882 Issued in TX
Practice address
1120 Medical Plaza Dr Ste 150
Shenandoah, TX 77380-3250
Phone
(347) 422-3075
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 AP135882 TX Primary

Addresses

Primary practice location

1120 Medical Plaza Dr Ste 150
Shenandoah, TX 77380-3250

Mailing address

9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883
Phone (713) 897-5900

Other practice location 1

9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883
Phone (347) 422-3075

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
I20191204002863 TX Practitioner - Nurse Practitioner 7911330980 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Physicians of TexasGroup PAC ID 1557254968, 113 clinicians

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Suite 330
Sugar Land, TX 77479-2648
Phone (281) 238-3770

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2307

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Nov 4, 2019 Accepting new patients
Memorial Hermann Neighborhood Health Centers, PLLC Current Accepting new patients
TMH Physician Associates PLLC CurrentSince Nov 4, 2019 Accepting new patients
MHS Physicians of Texas CurrentSince Mar 20, 2023 Accepting new patients
MHS Physicians of Texas CurrentSince Mar 20, 2023 Accepting new patients
Memorial Hermann Medical Group CurrentSince Sep 1, 2019 Accepting new patients

Locations

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530

10905 Memorial Hermann Dr
Ste 111
Pearland, TX 77584
Phone (281) 929-4727

9200 Pinecroft Dr
Ste 130
Shenandoah, TX 77380
Phone (713) 897-5900

9180 Pinecroft Dr
Ste 500
Shenandoah, TX 77380
Phone (713) 897-5900

1120 Medical Plaza Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 296-8686

17510 W Grand Pkwy S
Ste 330
Sugar Land, TX 77479
Phone (281) 238-3770

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

Interoperability endpoints

  • Direct secure messaging: emuzhetskaya161180@directhoustonmethodist.org

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": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1053835686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 500",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803883",
            "telephone_number": "713-897-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL PLAZA DR STE 150",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803250",
            "telephone_number": "347-422-3075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9180 Pinecroft Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803883",
            "country_code": "US",
            "telephone_number": "347-422-3075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUZHETSKAYA",
        "first_name": "EVGENIYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP135882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.