Individual provider Active NPI

L. Anne Mazel, NP

  • Nurse Practitioner
  • Wharton, TX
National Provider Identifier
1194782573
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
524792 Issued in TX
Practice address
10141 US 59 Hwy Ste E1
Wharton, TX 77488-7224
Phone
(979) 358-9410
Fax
(979) 358-9411
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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 524792 TX Primary

Addresses

Primary practice location

10141 US 59 Hwy Ste E1
Wharton, TX 77488-7224

Mailing address

4911 Sandhill Dr
Sugar Land, TX 77479-5320
Phone (281) 238-7870

Other practice location 1

1601 Main St Ste 105
Richmond, TX 77469-3230
Phone (281) 633-4925

Other identifiers 6

IdentifierTypeStateIssuer
042487101MedicaidTX
042487108MedicaidTX
500011692OtherTXRAILROAD GBA - RAILROAD MEDICARE
875N31OtherTXBC/BS #
PO1160255OtherTXRAILROAD MEDICARE #
042487105MedicaidTX

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
I20100730000636 TX Practitioner - Nurse Practitioner 0547393365 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
524792TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakbend Medical Group CurrentSince Apr 12, 2021 Accepting new patients
Memorial Hermann Medical Group CurrentSince May 1, 2012 Accepting new patients
Oakbend Medical Group CurrentSince Apr 12, 2021 Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

1601 Main St
Ste 105
Richmond, TX 77469
Phone (281) 633-4925

4911 Sandhill Dr
Sugar Land, TX 77479
Phone (281) 238-7870

10141 US 59 Hwy
Ste E1
Wharton, TX 77488
Phone (979) 358-9410

2100 Regional Medical Dr
Wharton, TX 77488
Phone (979) 532-1700

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1194782573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 SANDHILL DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795320",
            "telephone_number": "281-238-7870",
            "fax_number": "281-633-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10141 US 59 HWY STE E1",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774887224",
            "telephone_number": "979-358-9410",
            "fax_number": "979-358-9411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Main St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774693230",
            "country_code": "US",
            "telephone_number": "281-633-4925",
            "fax_number": "281-239-4929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZEL",
        "first_name": "L.",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "524792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042487101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042487108",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GBA - RAILROAD MEDICARE",
            "identifier": "500011692",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS #",
            "identifier": "875N31",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "PO1160255",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042487105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wharton, TX

Sources for this page

Verify at the official NPI Registry.