Individual provider Active NPI

Mayriel Oliver, APRN-CNP

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1417221946
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1116832 Issued in TX
Practice address
21800 Katy Fwy Ste 240
Katy, TX 77449-7781
Phone
(346) 387-7001
Fax
(346) 387-7002
NPI assigned
Mar 1, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 964788 TX
Family Nurse Practitioner 363LF0000X 1116832 TX Primary

Addresses

Primary practice location

21800 Katy Fwy Ste 240
Katy, TX 77449-7781

Mailing address

21800 Katy Fwy Ste 240
Katy, TX 77449-7781
Phone (346) 387-7001

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
I20250205002117 TX Practitioner - Nurse Practitioner 8729518881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine Specialists of Texas, PLLCGroup PAC ID 1557625662, 4 clinicians

Practice addresses (Care Compare)

21800 Katy Fwy
Suite 240
Katy, TX 77449-7792
Phone (346) 387-7001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
964788TXMDGeneral Practice Registered Nurse
1116832TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Specialists of Texas, PLLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

21800 Katy Fwy
Ste 240
Katy, TX 77449
Phone (346) 387-7001

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": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1417221946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21800 KATY FWY STE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497781",
            "telephone_number": "346-387-7001",
            "fax_number": "346-387-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 KATY FWY STE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497781",
            "telephone_number": "346-387-7001",
            "fax_number": "346-387-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "MAYRIEL",
        "name_prefix": "Mr.",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-01",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "964788",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1116832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.