Individual provider Active NPI

Mary J Corder

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1073903589
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127489 Issued in TX
Practice address
5656 Kelley St
Houston, TX 77026-1967
Phone
(713) 428-1466
NPI assigned
Feb 4, 2015
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5024990 NC
Nurse Practitioner 363L00000X 11000975 FL
Nurse Practitioner 363L00000X 229677 LA
Family Nurse Practitioner 363LF0000X AP127489 TX Primary
Registered Nurse 163W00000X 801188 TX

Addresses

Primary practice location

5656 Kelley St
Houston, TX 77026-1967

Mailing address

9757 Pine Lake Dr
Apt 1093
Houston, TX 77055-6149
Phone (713) 428-1466

Other practice location 1

250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 535-8011

Other practice location 2

1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150512001461 TX Practitioner - Nurse Practitioner 1456670504 Reassigns benefits to 9 organizations
I20230802003801 LA Practitioner - Nurse Practitioner 1456670504 Reassigns benefits to 2 organizations
I20250128000520 FL Practitioner - Nurse Practitioner 1456670504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians
Jasper Emergency Physicians PLLCGroup PAC ID 9133573983, 58 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

10140 Hwy 242
Conroe, TX 77385-4386
Phone (936) 286-6196

1227 Museum Square Dr
Sugar Land, TX 77479-4629
Phone (281) 265-8125

12740 Memorial Dr
Houston, TX 77024-4861
Phone (832) 658-3110

1275 Marvin Hancock Dr
Jasper, TX 75951-4935
Phone (409) 384-5461

19419 Gulf Fwy
Webster, TX 77598-2807
Phone (281) 316-0885

20022 Southwest Fwy
Sugar Land, TX 77479-6310
Phone (346) 521-3628

20115 Bridgeland Creek Pkwy
Suite 201
Cypress, TX 77433-0810
Phone (346) 573-8918

2400 N Shepherd Dr
Suite 140
Houston, TX 77008-2989
Phone (832) 509-0458

300 N Loop
Suite 100 Memorial Hermann Gohealth UC
Houston, TX 77008-2853
Phone (713) 426-9650

30129 Rock Creek Dr
Suite 200
Kingwood, TX 77339-2868
Phone (346) 477-8144

3501 W Holcombe Blvd
Memorial Hermann Gohealth UC
Houston, TX 77025-1313
Phone (713) 814-2680

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

449 W 23Rd St
HCA Florida Gulf Coast Hospital
Panama City, FL 32405-4507
Phone (813) 873-6400

5102 FM 1463 Rd
Katy, TX 77494-7870
Phone (281) 574-1104

5656 Kelley St
Houston, TX 77026-1967
Phone (713) 566-5000

9595 Six Pines Dr
Suite 1400
The Woodlands, TX 77380-1535
Phone (346) 478-1615

9606 Jones Rd
Houston, TX 77065-4302
Phone (346) 569-0515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Merit-based Incentive Payment System (MIPS)

Final score
78.92 of 100Reported as group
Quality
71.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
801188TXMDRegistered Nurse
AP127489TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Emergency Medicine Management -- Lake Charles LLC CurrentSince Oct 22, 2023 Accepting new patients
Ut Physicians Nurse Practitioner CurrentSince Oct 4, 2021 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Dec 1, 2024 Accepting new patients
Integrative Emergency Services Physician Group PA CurrentSince Dec 1, 2021 Accepting new patients
Ut Physicians CurrentSince Oct 4, 2021 Accepting new patients
Jasper Emergency Medicine Associates PA Nurse Practitioner CurrentSince Apr 15, 2021 Accepting new patients
Oleander Emergency Medicine Associates PA Nurse Practitioner CurrentSince Sep 17, 2018 Accepting new patients
Jefferson Emergency Medicine Associates PA Nurse Practitioner CurrentSince Apr 10, 2021 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Nurse Practitioner CurrentSince Jun 1, 2020 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Apr 1, 2015 Accepting new patients
Jefferson Emergency Physicians, PLLC Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Memorial Hermann Urgent Care PLLC CurrentSince May 8, 2023 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC CurrentSince Aug 1, 2021 Accepting new patients
Southeast Emergency Medicine Associates, PA Nurse Practitioner CurrentSince May 8, 2021 Accepting new patients
Jasper Emergency Physicians, PLLC Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Methodist Health Centers Past Accepting new patients

Locations (25 of 28)

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

449 W 23rd St
Fl Gulf
Panama City, FL 32405
Phone (813) 873-6400

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

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

1500 S Main St
Fl 1
Ft Worth, TX 76104
Phone (817) 702-1451

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 724-3600

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD
  • Direct secure messaging: mcorder416613@christushealth.direct-ci.net
  • Direct secure messaging: mcorder5286190@direct.casso.us.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1073903589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9757 PINE LAKE DR",
            "address_2": "APT 1093",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556149",
            "telephone_number": "713-428-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 KELLEY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770261967",
            "telephone_number": "713-428-1466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Smith Church Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke Rapids",
            "state": "NC",
            "postal_code": "278704914",
            "country_code": "US",
            "telephone_number": "252-535-8011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Oak Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018911",
            "country_code": "US",
            "telephone_number": "337-494-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDER",
        "first_name": "MARY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5024990",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11000975",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "229677",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127489",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "801188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.