Individual provider Active NPI

Josephine Mogeni, FNP

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1306295852
Registry record updated Oct 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130436 Issued in TX
Practice address
2940 Broadway Blvd Ste 15
Garland, TX 75041-3749
Phone
(972) 212-4586
Fax
(469) 298-0779
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 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 AP130436 TX Primary

Addresses

Primary practice location

2940 Broadway Blvd Ste 15
Garland, TX 75041-3749

Mailing address

2940 Broadway Blvd Ste 15
Garland, TX 75041-3749
Phone (972) 212-4586

Other identifiers 1

IdentifierTypeStateIssuer
AP130436OtherTXTEXAS STATE BOARD OF NURSING

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
I20170531000199 TX Practitioner - Nurse Practitioner 3971870635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topcare Family and Wellness ClinicGroup PAC ID 4284960386, 2 clinicians

Practice addresses (Care Compare)

2940 Broadway Blvd
Suite 15
Garland, TX 75041-3749
Phone (972) 212-4586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP130436TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Family & Wellness Clinic CurrentSince Jun 3, 2019 Accepting new patients

Locations

2940 Broadway Blvd
Ste 15
Garland, TX 75041
Phone (972) 212-4586

Interoperability endpoints

  • Direct secure messaging: jmogeni@tcfw-tx.direct.office.nextgen.com

Organizations & group practices 1

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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1306295852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 BROADWAY BLVD STE 15",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413749",
            "telephone_number": "972-212-4586",
            "fax_number": "469-298-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 BROADWAY BLVD STE 15",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413749",
            "telephone_number": "972-212-4586",
            "fax_number": "469-298-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGENI",
        "first_name": "JOSEPHINE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF NURSING",
            "identifier": "AP130436",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.