Michelle Anne Mourre, CNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1021023 Issued in TX

Practice address

23910 W Interstate 10 Apt 4209
San Antonio, TX 78257-1387

Phone

(210) 601-9034

Fax

(210) 519-3012

NPI assigned

Dec 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Texas Nurse Advocate PLLCGroup PAC ID 7911362629, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.mourre.1@30518.direct.athenahealth.com

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.

• Texas Nurse Advocate PLLC

  dba Boerne Healthcare Group PLLC

  • Adult Health Nurse Practitioner
  • Boerne, TX
  • NPI 1720791056

  Gerontology

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1295331858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23910 W INTERSTATE 10 APT 4209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571387",
            "telephone_number": "210-601-9034",
            "fax_number": "210-519-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23910 W INTERSTATE 10 APT 4209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571387",
            "telephone_number": "210-601-9034",
            "fax_number": "210-519-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURRE",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1021023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mounger NP First Assist
• Wilmer Kyle Mounger, AG-ACNP
• Mount Calvary Hospice LLC
• Rachel Hannah Mount, APRN
• Mountain Radiology, Inc
• Erica Mouscardy
• April Mouton, RDH
• Fatemeh Movaghari Pour, DDS, MPH
• Movement Massate Therapy
• Movement State PLLC (Movement State Physical Therapy and Sports Rehab)

• Gerontology Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.