Individual provider Active NPI

Adrian Nwosu

  • Psychiatric/Mental Health Nurse Practitioner
  • Pearland, TX
National Provider Identifier
1073365821
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1031511 Issued in TX
Practice address
11601 Shadow Creek Pkwy Ste 111-177
Pearland, TX 77584-7283
Phone
(832) 971-6007
Fax
(832) 697-1792
NPI assigned
Apr 4, 2024
Last updated
Oct 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1031511 TX Primary

Addresses

Primary practice location

11601 Shadow Creek Pkwy Ste 111-177
Pearland, TX 77584-7283

Mailing address

11601 Shadow Creek Pkwy Ste 111-177
Pearland, TX 77584-7283
Phone (832) 971-6007

Other identifiers 2

IdentifierTypeStateIssuer
F408214-01OtherNYNY LICENSE
26NJ15366000OtherNJNJ LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240421000101 TX Practitioner - Nurse Practitioner 3274972450 Reassigns benefits to 2 organizations
I20260624000040 NJ Practitioner - Nurse Practitioner 3274972450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bliss Advanced Clinical Solutions, PLLCGroup PAC ID 8628332954, 3 clinicians

Practice addresses (Care Compare)

11601 Shadow Creek Pkwy
Suite 111 117
Pearland, TX 77584-7283
Phone (346) 629-7493

125 Tuxedo Pkwy
Newark, NJ 07106-3328
Phone (346) 629-7493

2422 Fairbreeze Dr
Katy, TX 77494-5102
Phone (281) 940-9229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1031511TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bliss Advanced Clinical Solutions, PLLC CurrentSince Apr 3, 2024 Accepting new patients
Mindfulcare Psychiatry PLLC Psychiatric/Mental Health CurrentSince Mar 10, 2025 Accepting new patients

Locations

11601 Shadow Creek Pkwy
Ste 111117
Pearland, TX 77584
Phone (346) 629-7493

11601 Shadow Creek Pkwy
Ste 111177
Pearland, TX 77584
Phone (832) 971-6007

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": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1073365821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 SHADOW CREEK PKWY STE 111-177",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847283",
            "telephone_number": "832-971-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 SHADOW CREEK PKWY STE 111-177",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847283",
            "telephone_number": "832-971-6007",
            "fax_number": "832-697-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOSU",
        "first_name": "ADRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-04",
        "last_updated": "2026-10-04",
        "certification_date": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1031511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "F408214-01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "26NJ15366000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.