Individual provider Active NPI

Mercy Philip

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1114349354
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0713344 Issued in TX
Practice address
10711 Nicoles Place TRL
Houston, TX 77089-2784
Phone
(713) 453-9800
Fax
(713) 453-9801
NPI assigned
Jan 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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 F0713344 TX Primary

Addresses

Primary practice location

10711 Nicoles Place TRL
Houston, TX 77089-2784

Mailing address

10711 Nicoles Place TRL
Houston, TX 77089-2784
Phone (281) 948-3108

Other names 1

  • Mrs. Mercy Philip Other name

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
I20150313000381 TX Practitioner - Nurse Practitioner 6406172238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vah Inc.Group PAC ID 5496857468, 3 clinicians

Practice addresses (Care Compare)

11410 E Fwy
Houston, TX 77029-1976

11410 E Fwy
Houston, TX 77029-1986

11410 E Fwy 168
Houston, TX 77029-1986

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0713344TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vah Inc CurrentSince Jan 24, 2015 Accepting new patients

Locations

11410 I 10 East Fwy
Ste 168
Houston, TX 77029
Phone (713) 453-9800

Interoperability endpoints

  • Direct secure messaging: mercy.philip@241.securemail.prognocis.com

Organizations & group practices 1

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": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1114349354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10711 NICOLES PLACE TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892784",
            "telephone_number": "281-948-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10711 NICOLES PLACE TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892784",
            "telephone_number": "713-453-9800",
            "fax_number": "713-453-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "MERCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F0713344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERCY",
            "last_name": "PHILIP",
            "prefix": "MRS.",
            "credential": "FNP -C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.