Individual provider Active NPI

Mirlene E Appolon

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1376743153
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
137637 Issued in TX
Practice address
7275 Caracara Dr
Houston, TX 77040
Phone
(857) 236-9704
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 252947 MA
Family Nurse Practitioner 363LF0000X 137637 TX Primary

Addresses

Primary practice location

7275 Caracara Dr
Houston, TX 77040

Mailing address

7275 Caracara Dr
Houston, TX 77040-4440
Phone (857) 236-9704

Other practice location 1

9 Robert Rd
Randolph, MA 02368
Phone (781) 963-3135

Other identifiers 1

IdentifierTypeStateIssuer
0713198OtherMAPROVIDER NUMBER

Other names 1

  • Mirlene Exume Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191221000315 TX Practitioner - Nurse Practitioner 0345674552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as group
Quality
89.34
Improvement activities
40
Cost
49.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
137637TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allan J. McCorkle, M.D.,P.a. CurrentSince Dec 1, 2019 Accepting new patients

Locations

3 Medical Dr
Ste A
Amarillo, TX 79106
Phone (806) 355-1313

7021 Kewanee Ave
Unit 6104
Lubbock, TX 79424
Phone (806) 355-1313

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1376743153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 CARACARA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770404440",
            "telephone_number": "857-236-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 CARACARA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77040",
            "telephone_number": "857-236-9704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Robert Rd",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "MA",
            "postal_code": "02368",
            "country_code": "US",
            "telephone_number": "781-963-3135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPOLON",
        "first_name": "MIRLENE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "252947",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "137637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "0713198",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRLENE",
            "last_name": "EXUME",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.