Active NPI
Craig David Mueller, FNP
- Nurse Practitioner
- Wake Village, TX
National Provider Identifier
1164448155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 652397
- Practice address
- 5212 W 7TH St
Wake Village, TX 75501-5930 - Phone
- (903) 831-6848
- Fax
- (903) 223-7089
- NPI assigned
- Jul 14, 2006
- Last updated
- Feb 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 652397 | TX | Primary |
Addresses
Primary practice location
5212 W 7TH St
Wake Village, TX 75501-5930
Mailing address
2101 Galleria Oaks Dr
Texarkana, TX 75503-4625
Phone (903) 791-9120
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154712758 | Medicaid | AR | |
| 200035390A | Medicaid | OK | |
| 82827 | Other | AR | BLUE SHIELD |
| 167645401 | Medicaid | TX | |
| 8N7142 | Other | TX | BLUE SHIELD |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Arkansas College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5212 W 7TH St
Wake Village, TX 75501-5930
Phone (903) 831-6848
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 652397 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medical Group of Texarkana | Current | Accepting new patients | |
| Texarkana Emergency Medicine Physicians,PA | Past | Accepting new patients | |
| Emergency Associates of Texas, PA | Nurse Practitioner | Past | Accepting new patients |
Locations
2101 Galleria Oaks Dr
Texarkana, TX 75503
Phone (903) 791-9120
5212 W 7th St
Wake Village, TX 75501
Phone (903) 791-9120
Interoperability endpoints
- craigmueller@fmgt.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Texarkana, TX
- NPI 1831233766
-
- Emergency Medicine Physician
- Texarkana, TX
- NPI 1326071788
Nurse Practitioner
-
- Emergency Medicine Physician
- Texarkana, TX
- NPI 1184662553
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus St. Michael Health System
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
Hospital
-
dba CHRISTUS St. Michael Health System
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
dba CHRISTUS HomeCare - St. Michael
- Home Health Agency
- Texarkana, TX
- NPI 1437269651
-
dba Elite Home Health
- Home Health Agency
- Nashville, AR
- NPI 1881892404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1164448155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 GALLERIA OAKS DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755034625",
"telephone_number": "903-791-9120",
"fax_number": "903-791-9132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5212 W 7TH ST",
"city": "WAKE VILLAGE",
"state": "TX",
"postal_code": "755015930",
"telephone_number": "903-831-6848",
"fax_number": "903-223-7089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "CRAIG",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "652397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154712758",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200035390A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "82827",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167645401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "8N7142",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wake Village, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.