NPIMap

Individual provider Active NPI

Melissa Ann Maag, NP-C

  • Nurse Practitioner
  • Katy, TX
National Provider Identifier
1306860945
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
635189 Issued in TX
Practice address
4927 Kale Garden CT
Katy, TX 77449-4874
Phone
(505) 947-6651
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 635189 TX Primary

Addresses

Primary practice location

4927 Kale Garden CT
Katy, TX 77449-4874

Mailing address

4927 Kale Garden CT
Katy, TX 77449-4874
Phone (505) 947-6651

Other identifiers 4

IdentifierTypeStateIssuer
117-964-001MedicaidTX
8Y3996OtherTXBCBSTX
8Y3685OtherTXBCBSTX
635189OtherTXNURSE PRACTITIONERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98714TXMDMental Health Counselor
635189TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Northwest Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients
Memorial City Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients
Memorial Southeast Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients
Brazos Emergency Physicians, PA Past Accepting new patients
Woodlands Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients
Memorial Southwest Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1306860945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4927 KALE GARDEN CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494874",
            "telephone_number": "505-947-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4927 KALE GARDEN CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494874",
            "telephone_number": "505-947-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAG",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "635189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117-964-001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8Y3996",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8Y3685",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONERS",
            "identifier": "635189",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.