Active NPI
Yaa Brago
- Psychiatric/Mental Health Nurse Practitioner
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1094957
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03547 | RI | MD | Nurse Practitioner |
| 1094957 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Direct Primary Care in Texas LLC | Current | Accepting new patients | |
| Harmony Neuro Behavioral Care LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Supportive Care of Texas PC | Nurse Practitioner | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Grand Prairie, TX
- NPI 1720869050
Psychiatric/Mental Health, TX
-
- Nurse Practitioner
- Garland, TX
- NPI 1174247126
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.