Patricia Kathleen Innis

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1000173 Issued in TX

Practice address

100 Medical Center Blvd Ste 200
Conroe, TX 77304-2821

Phone

(441) 968-0936

Fax

(936) 539-9685

NPI assigned

May 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Adnan Afzal, MD PA

  • Cardiovascular Disease Physician
  • Conroe, TX
  • NPI 1396935714

  Family

  Medicare reassignment NPD
• Memorial Hermann Medical Group

  • Family Medicine Physician
  • Fulshear, TX
  • NPI 1003985102
  Medicare reassignment NPD

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1144843384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042821",
            "telephone_number": "441-968-0936",
            "fax_number": "936-539-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042821",
            "telephone_number": "441-968-0936",
            "fax_number": "936-539-9685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9250 Pinecroft Dr # N2101",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803218",
            "country_code": "US",
            "telephone_number": "713-897-2307",
            "fax_number": "713-897-2275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INNIS",
        "first_name": "PATRICIA",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1000173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imran Fayaz, M.D., P.a.
• Infinite Testing Labs LLC
• Infinity & Beyond Therapy
• Infinitymed Solutions LLC
• Infusionmd
• Integra of the Woodlands Medical Services, PLLC
• Integrated Home Care LLC
• Integrated Life Choices, Inc.
• Integrum Health PLLC
• Internal Medicine Solutions, PLLC

• Family Nurse Practitioner in Conroe, TX
• Providers in Conroe, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.