Individual provider Active NPI

Michael Truman Hubbard, FNP-C

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1396597407
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1101651 Issued in TX
Practice address
4325 McGregor Bluff LN
Conroe, TX 77304-2461
Phone
(706) 577-8134
NPI assigned
Apr 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 1101651 TX Primary

Addresses

Primary practice location

4325 McGregor Bluff LN
Conroe, TX 77304-2461

Mailing address

4325 McGregor Bluff LN
Conroe, TX 77304-2461
Phone (706) 577-8134

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
I20240503003619 TX Practitioner - Nurse Practitioner 1153761309 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Urgent Care, PLLCGroup PAC ID 8022448877, 6 clinicians
C 2 K Health and Wellness PLLCGroup PAC ID 2264711449, 9 clinicians

Practice addresses (Care Compare)

12717 Interstate 45 N
Suite 300
Willis, TX 77318-7035
Phone (936) 228-7598

2510 S Loop 336
Suite 115
Conroe, TX 77304-3737
Phone (936) 235-2825

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1101651TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Best Urgent Care, PLLC CurrentSince Dec 22, 2024 Accepting new patients
C 2 K Health and Wellness PLLC Family CurrentSince Apr 24, 2024 Accepting new patients

Locations

14420 Highway 105 E
Ste 104
Conroe, TX 77306
Phone (936) 235-2825

2510 S Loop 336 W
Ste 115A
Conroe, TX 77304

2510 S Loop 336 W
Ste 115
Conroe, TX 77304
Phone (936) 235-2825

12717 Interstate 45 N
Ste 300
Willis, TX 77318
Phone (936) 228-7598

Organizations & group practices 3

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": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1396597407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 MCGREGOR BLUFF LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042461",
            "telephone_number": "706-577-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 MCGREGOR BLUFF LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042461",
            "telephone_number": "706-577-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "MICHAEL",
        "middle_name": "TRUMAN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1101651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.