Individual provider Active NPI

Maryline Ongangi, FNP

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1215217351
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
724419 Issued in TX
Practice address
715 N Fielder Rd
Arlington, TX 76012-4695
Phone
(469) 646-7237
NPI assigned
Aug 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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 724419 TX Primary

Addresses

Primary practice location

715 N Fielder Rd
Arlington, TX 76012-4695

Mailing address

1001 N Waldrop Dr Ste 801
Arlington, TX 76012-4706
Phone (817) 962-0056

Other practice location 1

7101 Eastridge Rd
Odessa, TX 79765-8919
Phone (432) 550-0048

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
I20111104000297 TX Practitioner - Nurse Practitioner 2567635691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primecare Family PracticeGroup PAC ID 0244565075, 2 clinicians

Practice addresses (Care Compare)

1001 N Waldrop Dr
Suite 801
Arlington, TX 76012-4706
Phone (817) 962-0056

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
724419TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare Family Practice Family CurrentSince Mar 22, 2019 Accepting new patients
Primecare Family Practice LLC Past Accepting new patients

Locations

715 N Fielder Rd
Arlington, TX 76012
Phone (817) 261-1626

1001 N Waldrop Dr
Ste 801
Arlington, TX 76012
Phone (817) 274-4593

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1313884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1215217351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N WALDROP DR STE 801",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124706",
            "telephone_number": "817-962-0056",
            "fax_number": "817-962-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N FIELDER RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124695",
            "telephone_number": "469-646-7237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Eastridge Rd",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797658919",
            "country_code": "US",
            "telephone_number": "432-550-0048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONGANGI",
        "first_name": "MARYLINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-21",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "724419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.