Individual provider Active NPI

Edidiong Akpan

  • Family Nurse Practitioner
  • Pflugerville, TX
National Provider Identifier
1053896233
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1111263 Issued in TX
Practice address
2013 Kelly LN
Pflugerville, TX 78660-7879
Phone
(866) 389-2727
NPI assigned
Oct 3, 2018
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1111263 TX Primary
Registered Nurse 163W00000X 953280 TX

Addresses

Primary practice location

2013 Kelly LN
Pflugerville, TX 78660-7879

Mailing address

2013 Kelly LN
Pflugerville, TX 78660-7879
Phone (866) 389-2727

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
I20230404000781 TX Practitioner - Nurse Practitioner 7618342767 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expressmd Urgent Care PLLCGroup PAC ID 6204029291, 6 clinicians

Practice addresses (Care Compare)

1616 FM
685 Suite 106
Pflugerville, TX 78660-7537
Phone (512) 252-9094

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
953280TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Expressmd Urgent Care PLLC CurrentSince Feb 12, 2024 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Mar 10, 2023 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 310-3190

1616 FM 685
Ste 106
Pflugerville, TX 78660
Phone (512) 252-9094

2013 Kelly Ln
Pflugerville, TX 78660
Phone (512) 990-0814

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Organizations & group practices 3

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1053896233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 KELLY LN",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607879",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 KELLY LN",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607879",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKPAN",
        "first_name": "EDIDIONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1111263",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "953280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.