Individual provider Active NPI

Irene Enow Mbi, NP

  • Family Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1265155147
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1093386 Issued in TX
Practice address
626 Hammond Dr
Mansfield, TX 76063-5848
Phone
(256) 417-3070
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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 1093386 TX Primary

Addresses

Primary practice location

626 Hammond Dr
Mansfield, TX 76063-5848

Mailing address

626 Hammond Dr
Mansfield, TX 76063-5848
Phone (256) 417-3070

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
I20230128000253 TX Practitioner - Nurse Practitioner 7416327812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
I and E Family and Psychiatry Practice PLLCGroup PAC ID 2264802669, 2 clinicians

Practice addresses (Care Compare)

808 SW Green Oaks Blvd
Suite 402
Arlington, TX 76017-6233
Phone (256) 479-4472

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1093386TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bess Home Community Mental Services CurrentSince Oct 16, 2022 Accepting new patients
I & E Family and Psychiatry Practice, PLLC CurrentSince Nov 23, 2022 Accepting new patients

Locations

808 SW Green Oaks Blvd
Arlington, TX 76017
Phone (256) 479-4472

808 SW Green Oaks Blvd
Ste 402
Arlington, TX 76017
Phone (256) 479-4472

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.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1265155147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 HAMMOND DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635848",
            "telephone_number": "256-417-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 HAMMOND DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635848",
            "telephone_number": "256-417-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBI",
        "first_name": "IRENE",
        "middle_name": "ENOW",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1093386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.