Evelyn C.K. Maangi, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1010291 Issued in TX

Practice address

9428 Patagonia LN
Plano, TX 75025-4594

Phone

(214) 449-4100

NPI assigned

Oct 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Odette Louise Campbell, MD, PAGroup PAC ID 9335301829, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Odette Louise Campbell MD PA

  dba North Texas Medical Specialists

  • Family Medicine Physician
  • Plano, TX
  • NPI 1366750325
  Medicare reassignment Care Compare group
• Truenorth Medical Group PLLC

  • Family Nurse Practitioner
  • Plano, TX
  • NPI 1306781653
  NPD Authorized official
• Texan Primary Care PLLC

  • Internal Medicine Physician
  • Denton, TX
  • NPI 1245052596
  Medicare reassignment

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1457958712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9428 PATAGONIA LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254594",
            "telephone_number": "214-449-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9428 PATAGONIA LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254594",
            "telephone_number": "214-449-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAANGI",
        "first_name": "EVELYN",
        "middle_name": "C.K.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1010291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason J Ma, M.D.
• John Leo Ma, PHARMD
• Ma1Holdings Dba Proactive Dental (Proactive Dental)
• Gerhard Emil Maale III, M.D.
• Kim K. Maale, M.D.
• Maataji RX Corp (Unitedrx Pharmacy)
• Lilian Mabiru, APRN
• Michelle Lewis Macalpine, PH.D.
• Macc Enterprises LLC (Activerx - Plano)
• Marvel Dorin Maccomish, NONE

• Family Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.