Individual provider Active NPI

Nelly Okere, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Stafford, TX
National Provider Identifier
1326580705
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP132623 Issued in TX
Practice address
4781 S Main St
Stafford, TX 77477-4723
Phone
(281) 404-5490
NPI assigned
Nov 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP132623 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP132623 TX Primary

Addresses

Primary practice location

4781 S Main St
Stafford, TX 77477-4723

Mailing address

4781 S Main St
Stafford, TX 77477-4723
Phone (281) 404-5490

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
I20161214002133 TX Practitioner - Nurse Practitioner 0446200661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tandem Psychiatric and Family Practice , PLLCGroup PAC ID 7911327887, 2 clinicians

Practice addresses (Care Compare)

4781 S Main St
Stafford, TX 77477-4723
Phone (281) 404-5490

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tandem Psychiatric and Family Practice PLLC Family CurrentSince Sep 23, 2020 Accepting new patients

Locations

4781 S Main St
Stafford, TX 77477
Phone (281) 404-5490

13920 Osprey Ct
Ste C
Webster, TX 77598
Phone (832) 831-9877

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": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1326580705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4781 S MAIN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774723",
            "telephone_number": "281-404-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4781 S MAIN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774723",
            "telephone_number": "281-404-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKERE",
        "first_name": "NELLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132623",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP132623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.