Individual provider Active NPI

Serah Wanjiru, NP

  • Nurse Practitioner
  • Richardson, TX
National Provider Identifier
1447807094
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP142559 Issued in TX
Practice address
331 Melrose Dr Ste 220
Richardson, TX 75080-4773
Phone
(469) 828-1903
Fax
(469) 374-3851
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP142559 TX Primary

Addresses

Primary practice location

331 Melrose Dr Ste 220
Richardson, TX 75080-4773

Mailing address

3613 Wrexham St # 614
Frisco, TX 75036-6454
Phone (469) 237-7519

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
I20200107002075 TX Practitioner - Nurse Practitioner 3577997121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

4700 Alliance Blvd
Plano, TX 75093-5323

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP142559TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospital Care Solutions LLC Nurse Practitioner CurrentSince Dec 17, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince May 9, 2022 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince May 9, 2022 Accepting new patients
Healthtexas Provider Network Family Medicine Past Accepting new patients

Locations

14655 Preston Rd
Dallas, TX 75254
Phone (214) 385-6326

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

331 Melrose Dr
Ste 220
Richardson, TX 75080
Phone (469) 828-1903

275 W Campbell Rd
Ste 260
Richardson, TX 75080

Interoperability endpoints

  • Direct secure messaging: swanjiru639755@direct.sw.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1447807094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 WREXHAM ST # 614",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750366454",
            "telephone_number": "469-237-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MELROSE DR STE 220",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804773",
            "telephone_number": "469-828-1903",
            "fax_number": "469-374-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANJIRU",
        "first_name": "SERAH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.