Individual provider Active NPI

Merceline Obuong

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1306247598
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126279 Issued in TX
Practice address
12222 N Central Expy Ste 340
Dallas, TX 75243-3755
Phone
(972) 972-4851
Fax
(972) 556-5202
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 AP126279 TX Primary

Addresses

Primary practice location

12222 N Central Expy Ste 340
Dallas, TX 75243-3755

Mailing address

12222 N Central Expy
Dallas, TX 75243-3755
Phone (972) 972-4851

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
I20150423000149 TX Practitioner - Nurse Practitioner 9436477460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sameer Syed MD PAGroup PAC ID 6204198575, 16 clinicians

Practice addresses (Care Compare)

3151 W 15TH St
Suite B
Plano, TX 75075-7731
Phone (214) 817-4225

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sameer Syed, MD, PA CurrentSince May 15, 2025 Accepting new patients
Konen & Associates, PA CurrentSince Feb 21, 2015 Accepting new patients
Sameer Syed MD PA CurrentSince May 15, 2025 Accepting new patients
Upm Anesthesia PLLC CurrentSince Jul 22, 2025 Accepting new patients
Preferred Imaging of Frisco, LLC Past Accepting new patients

Locations

1111 Raintree Cir
Ste 170
Allen, TX 75013
Phone (214) 509-9691

1451 Empire Central Dr
Ste 800
Dallas, TX 75247
Phone (214) 820-7246

12222 N Central Expy
Ste 340
Dallas, TX 75243
Phone (972) 972-4851

1400 8th Ave
Fl 6
Fort Worth, TX 76104
Phone (254) 592-3977

9456 State Highway 121
Ste 100
Frisco, TX 75035
Phone (214) 785-8815

7668 Eldorado Pkwy
Ste 300
McKinney, TX 75070

7668 Eldorado Pkwy
Ste 100
McKinney, TX 75070
Phone (972) 562-7015

1320 N Galloway Ave
Ste 106
Mesquite, TX 75149
Phone (214) 785-8815

3151 W 15th St
Plano, TX 75075
Phone (972) 370-5771

3151 W 15th St
#B
Plano, TX 75075
Phone (972) 370-5771

810 E Ralph Hall Pkwy
Ste 110
Rockwall, TX 75032
Phone (214) 703-1900

1701 N US Highway 75
Ste 100
Sherman, TX 75090
Phone (903) 375-3070

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.

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": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1306247598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433755",
            "telephone_number": "972-972-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 N CENTRAL EXPY STE 340",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433755",
            "telephone_number": "972-972-4851",
            "fax_number": "972-556-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBUONG",
        "first_name": "MERCELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.