Adrienne Mucha, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

547798 Issued in TX

Practice address

1315 Waters Edge Dr Ste 101
Granbury, TX 76048-1300

Phone

(817) 408-3600

Fax

(817) 408-3699

NPI assigned

Sep 26, 2006

Last updated

Sep 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adrienne.mucha.1@1293.direct.athenahealth.com

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.

• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment NPD
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1407957913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 WATERS EDGE DR STE 101",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481300",
            "telephone_number": "817-408-3600",
            "fax_number": "817-408-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WATERS EDGE DR STE 101",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481300",
            "telephone_number": "817-408-3600",
            "fax_number": "817-408-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCHA",
        "first_name": "ADRIENNE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "547798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adrienne.mucha.1@1293.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1315 Waters Edge Dr Ste 101",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760481300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hayley Morgan
• Joshua David Morrison, LCDC, CCS
• Linda Renee Morton, LVN
• Karl Moser, LPC
• MSPF II Granbury O.E., L.P. (Harbor Lakes Plaza Nursing and Rehabilitation Center)
• Nicole Alison Mueller, D.O.
• Shannon Ray Mueller, D.P.M.
• Lucia Munoz
• Wanda E Murga, LCDC
• Cassidy Murray

• Nurse Practitioner in Granbury, TX
• Providers in Granbury, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.