Active NPI
Mylisa Mueller
- Family Nurse Practitioner
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP131297
- Practice address
- 1021 Matlock Rd
Mansfield, TX 76063-3443 - Phone
- (817) 225-6888
- NPI assigned
- Jun 29, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP131297 | TX | Primary |
Addresses
Primary practice location
1021 Matlock Rd
Mansfield, TX 76063-3443
Mailing address
3921 W Green Oaks Blvd
D
Arlington, TX 76016-2764
Phone (817) 496-1919
Other practice location 1
3921 W Green Oaks Blvd
D
Arlington, TX 76016-2764
Phone (817) 496-1919
Other practice location 2
1811 Highway 287 N Ste 150
Mansfield, TX 76063-7595
Phone (817) 473-3979
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP131297 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Family Medical PLLC | Family | Current | Accepting new patients |
| Clinical Practice Support Services | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Katherine Johnson Wellness PLLC | Family | Current | Accepting new patients |
| James E. Race MD PA | Current | Accepting new patients |
Locations
2909 S Hampton Rd
#D107
Dallas, TX 75224
Phone (214) 467-3832
12530 Lebanon Rd
Ste 202
Frisco, TX 75035
Phone (469) 656-4602
1325 Pennsylvania Ave
Ste 560
Ft Worth, TX 76104
Phone (817) 250-7240
2900 Denton Hwy
Ste A
Haltom City, TX 76117
Phone (817) 420-6009
1811 Highway 287 N
Ste 150
Mansfield, TX 76063
Phone (817) 473-3979
Interoperability endpoints
- https://api.platform.athenahealth.com/15811/brand/1/csg/1/fhir/r4
- mylisa.mueller.1@15811.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba Mansfield Urgent Care
- Primary Care Clinic/Center
- Mansfield, TX
- NPI 1881888907
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1467890954
-
- Family Nurse Practitioner
- Frisco, TX
- NPI 1861947608
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Family Nurse Practitioner
- Frisco, TX
- NPI 1619782836
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524960000000",
"number": "1174974240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3921 W GREEN OAKS BLVD",
"address_2": "D",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760162764",
"telephone_number": "817-496-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 MATLOCK RD",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760633443",
"telephone_number": "817-225-6888"
}
],
"practiceLocations": [
{
"address_1": "3921 W Green Oaks Blvd",
"address_2": "D",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760162764",
"country_code": "US",
"telephone_number": "817-496-1919",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1811 Highway 287 N Ste 150",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "TX",
"postal_code": "760637595",
"country_code": "US",
"telephone_number": "817-473-3979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUELLER",
"first_name": "MYLISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-29",
"last_updated": "2018-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP131297",
"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 Apr 29, 2018; 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.