Individual provider Active NPI

Suzanne Mehaffey, MSN, APRN, AGACNP-BC

  • Nurse Practitioner
  • Hearne, TX
National Provider Identifier
1194379503
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP142262 Issued in TX
Practice address
10568 Acacia Lane
Hearne, TX 77859
Phone
(817) 944-3066
NPI assigned
Jul 25, 2019
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP142262 TX Primary

Addresses

Primary practice location

10568 Acacia Lane
Hearne, TX 77859

Mailing address

101 Southwestern Blvd Ste 200
Sugar Land, TX 77478-3568
Phone (855) 954-6876

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
I20191014003122 TX Practitioner - Nurse Practitioner 2769713213 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nurocoach Medical Group PLLCGroup PAC ID 3173991619, 11 clinicians

Practice addresses (Care Compare)

101 Southwestern Blvd
Suite 200
Sugar Land, TX 77478-3568
Phone (855) 954-6876

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP142262TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC CurrentSince Jan 16, 2025 Accepting new patients
Nurocoach Medical Group PLLC CurrentSince Nov 11, 2023 Accepting new patients
Merit Healthcare Services, Inc. CurrentSince Dec 16, 2020 Accepting new patients
Wocnt PLLC Nurse Practitioner CurrentSince Oct 1, 2019 Accepting new patients
Gracious Minds Counseling and Supervision Inc. CurrentSince Nov 11, 2023 Accepting new patients
Psychplus Medical Associates, PLLC Nurse Practitioner CurrentSince Jan 16, 2025 Accepting new patients
Cardiovascular, Thoracic, and Vein Surgeons of Texas PLLC CurrentSince Oct 1, 2021 Accepting new patients
Pulse Healthcare System LLC PastSince Oct 20, 2025 Accepting new patients
Psychplus Medical Associates of Michigan, PLLC Past Accepting new patients

Locations

12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999

1925 E Belt Line Rd
Ste 208
Carrollton, TX 75006
Phone (972) 272-2132

3312 Longmire Dr
College Station, TX 77845
Phone (979) 314-4614

4015 I 45 N
Ste 210
Conroe, TX 77304
Phone (713) 667-4600

12221 Merit Dr
Ste 450
Dallas, TX 75251
Phone (214) 217-1900

2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (956) 289-8200

1250 8th Ave
Ste 545
Fort Worth, TX 76104
Phone (817) 912-8080

3100 Alliance Town Ctr
Fort Worth, TX 76177
Phone (409) 938-5166

7800 Oakmont Blvd
Ft Worth, TX 76132
Phone (817) 279-0225

1815 Thompson St
Houston, TX 77007

2800 Kirby Dr
Ste A110
Houston, TX 77098

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

902 Frostwood Dr
Ste 201
Houston, TX 77024
Phone (713) 932-7872

23838 Highway 59 N
Kingwood, TX 77339
Phone (832) 869-4814

101 Southwestern Blvd
Ste 200
Sugar Land, TX 77478
Phone (346) 298-3790

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1194379503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SOUTHWESTERN BLVD STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783568",
            "telephone_number": "855-954-6876",
            "fax_number": "844-584-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10568 ACACIA LANE",
            "city": "HEARNE",
            "state": "TX",
            "postal_code": "77859",
            "telephone_number": "817-944-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHAFFEY",
        "first_name": "SUZANNE",
        "credential": "MSN, APRN, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hearne, TX

Sources for this page

Verify at the official NPI Registry.