Individual provider Active NPI

Yaa Brago

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1083328504
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1094957 Issued in TX
Practice address
108 Magnolia St Apt 30
Mansfield, TX 76063-1845
Phone
(978) 648-1814
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 03547 RI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1094957 TX Primary

Addresses

Primary practice location

108 Magnolia St Apt 30
Mansfield, TX 76063-1845

Mailing address

108 Magnolia St Apt 30
Mansfield, TX 76063-1845
Phone (978) 648-1814

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
I20231117001063 TX Practitioner - Nurse Practitioner 0648627315 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
Supportive Care of Texas PC 28 clinicians

Practice addresses (Care Compare)

825 W Kearney St
Mesquite, TX 75149-3206
Phone (866) 708-1240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03547RIMDNurse Practitioner
1094957TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Primary Care in Texas LLC CurrentSince Jun 21, 2023 Accepting new patients
Harmony Neuro Behavioral Care LLC Psychiatric/Mental Health CurrentSince Oct 1, 2023 Accepting new patients
Supportive Care of Texas PC Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

1115 Anderson St
College Station, TX 77840
Phone (979) 693-1515

7311 S Hulen St
Fort Worth, TX 76133
Phone (817) 346-1925

2100 N State Highway 360
Ste 405A
Grand Prairie, TX 75050
Phone (682) 417-6187

25150 Lakecrest Manor Dr
Katy, TX 77493
Phone (281) 347-8200

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

7820 Skyline Park Dr
Wht Settlemt, TX 76108
Phone (817) 246-4671

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1083328504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MAGNOLIA ST APT 30",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631845",
            "telephone_number": "978-648-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MAGNOLIA ST APT 30",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631845",
            "telephone_number": "978-648-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGO",
        "first_name": "YAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "03547",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1094957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.