Individual provider Active NPI

Martha Ego Ozo, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1407319197
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP140754 Issued in TX
Practice address
702 Black Coral Dr
Mesquite, TX 75149-5436
Phone
(469) 688-7759
NPI assigned
Apr 9, 2019
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 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 AP140754 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP140754 TX Primary

Addresses

Primary practice location

702 Black Coral Dr
Mesquite, TX 75149-5436

Mailing address

702 Black Coral Dr
Mesquite, TX 75149-5436
Phone (469) 688-7759

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
I20191113001520 TX Practitioner - Nurse Practitioner 6507955960 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Pecan Valley MHMR RegionGroup PAC ID 4688627706, 20 clinicians

Practice addresses (Care Compare)

Granbury, TX 76048
Phone (817) 579-4400

104 Pirate Dr
Granbury, TX 76048-5682
Phone (817) 573-2662

3939 US Hwy 80 E
Suite 428
Mesquite, TX 75150-8108
Phone (469) 449-5999

906 W Lingleville Rd
Stephenville, TX 76401-2118
Phone (254) 968-4181

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mecare Home Health, Inc. Current Accepting new patients
Pecan Valley MHMR Region CurrentSince Jan 3, 2022 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 25, 2019 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Behavioral Health of North Texas LLP CurrentSince Feb 1, 2023 Accepting new patients
MJ Home Health Agency Inc CurrentSince Jun 16, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 25, 2019 Accepting new patients
New Horizon Psychiatry PLLC CurrentSince Jun 9, 2024 Accepting new patients
Pecan Valley MHMR Region Family CurrentSince Jan 3, 2022 Accepting new patients
Medinet Healthcare Agency Inc CurrentSince Nov 1, 2019 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 25, 2019 Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

4425 Plano Pkwy
Ste 203
Carrollton, TX 75010
Phone (972) 752-6206

1601 N Anglin St
Cleburne, TX 76031
Phone (817) 202-2732

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

5858 Main St
Ste 200
Frisco, TX 75033
Phone (214) 619-0721

2101 W Pearl St
Granbury, TX 76048
Phone (817) 579-4400

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

3939 US Highway 80 E
Ste 428
Mesquite, TX 75150
Phone (469) 449-5999

906 W Lingleville Rd
Stephenville, TX 76401
Phone (254) 968-4181

1715 Santa Fe Dr
Weatherford, TX 76086
Phone (817) 579-4400

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
MJ Home Health Agency IncMesquite, TX, CCN 457981 Home health agency Corporate Officer
Corporate Director
W-2 Managing Employee
Sep 30, 2007
Sep 30, 2007
Jan 4, 2007
Mecare Home Health IncMesquite, TX, CCN 747212 Home health agency W-2 Managing Employee Aug 30, 2012

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1407319197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 BLACK CORAL DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751495436",
            "telephone_number": "469-688-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 BLACK CORAL DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751495436",
            "telephone_number": "469-688-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZO",
        "first_name": "MARTHA",
        "middle_name": "EGO",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140754",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP140754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.