Active NPI
Heidi M Mansy, NP
- Nurse Practitioner
- Lake Jackson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 654373
- Practice address
- 100 Medical Dr
Lake Jackson, TX 77566-5674 - Phone
- (979) 297-4411
- NPI assigned
- Jun 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 654373 | TX | Primary |
Addresses
Primary practice location
100 Medical Dr
Lake Jackson, TX 77566-5674
Mailing address
1717 Main St
Ste 5200
Dallas, TX 75201-4612
Phone (214) 712-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 881N41 | Other | TX | BCBS |
| 1396009015 | Other | TX | TRICARE |
| 305464503 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Winding Way St
Suite a
Lake Jackson, TX 77566-5358
Phone (281) 783-8162
1246 N FM 3083 Rd W
Suite B
Conroe, TX 77304-5340
Phone (281) 783-8162
16312 Southwest Fwy
Sugar Land, TX 77479-2371
Phone (281) 783-8162
2560 E League City Pkwy
League City, TX 77573-6459
Phone (281) 783-8162
8100 Hwy 6 N
Suite E
Houston, TX 77095-1923
Phone (281) 783-8162
8325 Broadway St
Suite 220
Pearland, TX 77581-5773
Phone (281) 783-8162
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nluc PLLC | Current | Accepting new patients | |
| Nluc PLLC | Current | Accepting new patients | |
| Nluc PLLC | Current | Accepting new patients | |
| Next Level MV LLC | Current | Accepting new patients | |
| Next Level MV LLC | Current | Accepting new patients | |
| Texas Em-1 Medical Services, PA | Past | Accepting new patients | |
| Texas Em-I Medical Services, PA | Past | Accepting new patients | |
| Emcare-Dtxemergency Physicians PLLC | Nurse Practitioner | Past | Accepting new patients |
| Nluc PLLC Dba Next Level Urgent Care | Past | Accepting new patients |
Locations
7710 Garth Rd
Ste A
Baytown, TX 77521
6342 Phelan Blvd
Beaumont, TX 77706
Phone (281) 783-7182
1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304
8100 Highway 6 N
Ste E
Houston, TX 77095
Phone (832) 304-2314
101 Winding Way St
Ste A
Lake Jackson, TX 77566
8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162
4002 FM 762 Rd
Ste 100
Rosenberg, TX 77469
15882 Champion Forest Dr
Spring, TX 77379
Phone (281) 809-6615
5211 FM 2920 Rd
Ste 101
Spring, TX 77388
16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479
Organizations & group practices 9
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.
-
- Urgent Care Clinic/Center
- Pearland, TX
- NPI 1013432285
-
- Urgent Care Clinic/Center
- Houston, TX
- NPI 1518209113
-
- Urgent Care Clinic/Center
- Baytown, TX
- NPI 1073168746
-
- Urgent Care Clinic/Center
- League City, TX
- NPI 1043814049
-
- Urgent Care Clinic/Center
- Houston, TX
- NPI 1528495694
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1285709600
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Conroe, TX
- NPI 1023529765
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1942253083
-
- Internal Medicine Physician
- Greenville, TX
- NPI 1699981720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1396009015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 MAIN ST",
"address_2": "STE 5200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752014612",
"telephone_number": "214-712-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL DR",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665674",
"telephone_number": "979-297-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSY",
"first_name": "HEIDI",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-27",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "654373",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "881N41",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1396009015",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305464503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.