Individual provider Active NPI

Mercy Esohe Ewere, FNP-C

  • Family Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1467822692
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128879 Issued in TX
Practice address
26265 Northwest Fwy
Cypress, TX 77429-1760
Phone
(281) 758-0092
Fax
(281) 758-0092
NPI assigned
Sep 30, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128879 TX Primary

Addresses

Primary practice location

26265 Northwest Fwy
Cypress, TX 77429-1760

Mailing address

17410 Browning Trace LN
Richmond, TX 77407-2659
Phone (832) 814-8421

Other identifiers 1

IdentifierTypeStateIssuer
AP 128879OtherTXAMBULATORY SERVICE

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
I20160119000438 TX Practitioner - Nurse Practitioner 7911898176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP128879TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Houston Current Accepting new patients
Ambulatory Services Past Accepting new patients

Locations

1809 N Main St
Houston, TX 77009
Phone (713) 547-8076

4410 Reed Rd
Houston, TX 77051
Phone (832) 395-0069

8000 N Stadium Dr
Fl 7
Houston, TX 77054
Phone (713) 794-9104

Organizations & group practices 2

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": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1467822692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17410 BROWNING TRACE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072659",
            "telephone_number": "832-814-8421",
            "fax_number": "832-813-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26265 NORTHWEST FWY",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291760",
            "telephone_number": "281-758-0092",
            "fax_number": "281-758-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWERE",
        "first_name": "MERCY",
        "middle_name": "ESOHE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULATORY SERVICE",
            "identifier": "AP 128879",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.