Individual provider Active NPI

Marissa Pangan, FNP-C

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1053907451
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1022819 Issued in TX
Practice address
3466 Discovery Creek Blvd
Spring, TX 77386-7125
Phone
(281) 440-5300
NPI assigned
Dec 19, 2020
Sex
Female
Sole proprietor
Yes

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
Family Nurse Practitioner 363LF0000X 1022819 TX Primary

Addresses

Primary practice location

3466 Discovery Creek Blvd
Spring, TX 77386-7125

Mailing address

3466 Discovery Creek Blvd Ste 600
Spring, TX 77386-7129
Phone (281) 440-5300

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
I20210413001097 TX Practitioner - Nurse Practitioner 9032527098 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medella Urgent Care PLLCGroup PAC ID 9234417767, 12 clinicians
Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians
Excel Urgent Care, PLLCGroup PAC ID 9133146780, 15 clinicians

Practice addresses (Care Compare)

10130 Louetta Rd
Suite L
Houston, TX 77070-2118
Phone (346) 808-3670

10300 Louetta Rd
Suite 120
Houston, TX 77070-2121
Phone (346) 236-1082

19304 Katy Fwy
Suite 100
Houston, TX 77094-1008
Phone (281) 829-9900

25801 Hwy 290
Cypress, TX 77429-1049

4057 Riley Fuzzel Rd
Spring, TX 77386-4632
Phone (281) 602-0450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1022819TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medella Urgent Care, PLLC CurrentSince May 23, 2023 Accepting new patients
Excel Urgent Care PLLC CurrentSince Mar 1, 2021 Accepting new patients
Excel Urgent Care PLLC CurrentSince Mar 12, 2024 Accepting new patients
Memorial Hermann Urgent Care PLLC Family Medicine CurrentSince May 1, 2024 Accepting new patients

Locations

25402 Northwest Fwy
Ste 101
Cypress, TX 77429
Phone (281) 304-1100

25801 Highway 290
Cypress, TX 77429
Phone (281) 304-1100

1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860

19304 Katy Fwy
Ste 100
Houston, TX 77094
Phone (281) 304-1100

10130 Louetta Rd
Ste L
Houston, TX 77070
Phone (281) 301-3130

18535 FM 1488 Rd
Magnolia, TX 77354
Phone (281) 356-6103

6840 Highway 6
Ste A
Missouri City, TX 77459
Phone (281) 403-3660

2510 Smith Ranch Rd
Ste 102
Pearland, TX 77584
Phone (346) 439-7481

19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD

Organizations & group practices 4

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": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1053907451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 DISCOVERY CREEK BLVD STE 600",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773867129",
            "telephone_number": "281-440-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 DISCOVERY CREEK BLVD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773867125",
            "telephone_number": "281-440-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGAN",
        "first_name": "MARISSA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1022819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.