Individual provider Active NPI

Mary Rossby Concepcion Uy, FNP-C

  • Family Nurse Practitioner
  • Flower Mound, TX
National Provider Identifier
1164807236
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128611 Issued in TX
Practice address
5810 Long Prairie Rd Ste 600
Flower Mound, TX 75028-2590
Phone
(469) 788-7273
Fax
(469) 947-6114
NPI assigned
Jul 29, 2015
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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 AP128611 TX Primary

Addresses

Primary practice location

5810 Long Prairie Rd Ste 600
Flower Mound, TX 75028-2590

Mailing address

PO Box 797171
Dallas, TX 75379-7171
Phone (214) 494-4424

Other names 1

  • Mary Rossby Bautista Concepcion Uy Former 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
I20210630003982 TX Practitioner - Nurse Practitioner 2961803770 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Heart Care of Fort Worth, LLCGroup PAC ID 2860677341, 12 clinicians
Legacy Heartcare of Dallas, LLCGroup PAC ID 6305029653, 22 clinicians

Practice addresses (Care Compare)

2500 W Fwy
Suite 200
Fort Worth, TX 76102-5851
Phone (817) 753-8973

4716 Dexter Dr
Suite 200
Plano, TX 75093-5562
Phone (972) 490-9500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP128611TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heartcare of Dallas, LLC CurrentSince Sep 20, 2025 Accepting new patients
Legacy Heart Care of Grand Prairie, LLC CurrentSince Sep 2, 2025 Accepting new patients
Legacy Heart Care of North Dallas, LLC CurrentSince Sep 20, 2025 Accepting new patients
Legacy Heartcare of Dallas, LLC CurrentSince Sep 20, 2025 Accepting new patients
Legacy Heart Care of San Antonio CurrentSince Sep 20, 2025 Accepting new patients
Legacy Heart Care of San Antonio CurrentSince Sep 20, 2025 Accepting new patients
Legacy Heart Care of South Austin, LLC CurrentSince Sep 20, 2025 Accepting new patients
Legacy Heart Care of Midtown Austin, LLC CurrentSince Sep 20, 2025 Accepting new patients
Legacy Heart Care of Fort Worth, LLC CurrentSince Sep 20, 2025 Accepting new patients
Ivx Health of Texas P.a. CurrentSince Apr 28, 2026 Accepting new patients
The Center for Neurology and Neurophysiology, P.a. PastSince Oct 28, 2010 Accepting new patients
Marchetti Physical Medicine P.a. Past Accepting new patients

Locations

7515 Greenville Ave
Ste 1010
Dallas, TX 75231
Phone (972) 838-7255

5810 Long Prairie Rd
Ste 600
Flower Mound, TX 75028
Phone (469) 788-7273

9833 North Fwy
Ste 121
Fort Worth, TX 76177
Phone (469) 947-6114

2500 West Fwy
Ste 200
Ft Worth, TX 76102
Phone (817) 423-4400

4927 Lake Ridge Pkwy
Ste 145
Grand Prairie, TX 75052
Phone (817) 423-4400

1180 Seton Pkwy
Ste 280
Kyle, TX 78640
Phone (817) 710-7644

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

7300 Eldorado Pkwy
Ste 105
McKinney, TX 75070
Phone (945) 200-6880

4716 Dexter Dr
Ste 200
Plano, TX 75093
Phone (817) 502-7027

7200 Wyoming Springs Dr
Ste 300
Round Rock, TX 78681
Phone (512) 419-1100

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

8401 Datapoint Dr
Ste 421
San Antonio, TX 78229
Phone (210) 558-1800

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1164807236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797171",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753797171",
            "telephone_number": "214-494-4424",
            "fax_number": "214-494-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 LONG PRAIRIE RD STE 600",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282590",
            "telephone_number": "469-788-7273",
            "fax_number": "469-947-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION UY",
        "first_name": "MARY ROSSBY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY ROSSBY",
            "last_name": "CONCEPCION UY",
            "middle_name": "BAUTISTA",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.