Individual provider Active NPI

Mary Ellen Ostrowski, N.P.

  • Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1497914709
Registry record updated Aug 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
638157 Issued in TX
Practice address
603 S Conroe Medical Dr Ste 100
Conroe, TX 77304-5395
Phone
(936) 760-9900
Fax
(936) 760-9926
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP117091 TX
Nurse Practitioner 363L00000X 638157 TX Primary

Addresses

Primary practice location

603 S Conroe Medical Dr Ste 100
Conroe, TX 77304-5395

Mailing address

603 S Conroe Medical Dr Ste 100
Conroe, TX 77304-5395
Phone (936) 760-9900

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
I20081004000041 TX Practitioner - Nurse Practitioner 4486722428 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP117091TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scarborough Family Medicine, PLLC CurrentSince Aug 23, 2025 Accepting new patients
American Oncology Partners PA Nurse Practitioner PastSince Aug 18, 2024 Accepting new patients
Wael Asi MD PA Past Accepting new patients

Locations

603 S Conroe Medical Dr
Ste 110
Conroe, TX 77304
Phone (936) 760-9900

508 Medical Center Blvd
Ste 350
Conroe, TX 77304
Phone (936) 760-9900

Organizations & group practices 3

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1497914709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 S CONROE MEDICAL DR STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045395",
            "telephone_number": "936-760-9900",
            "fax_number": "936-760-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S CONROE MEDICAL DR STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045395",
            "telephone_number": "936-760-9900",
            "fax_number": "936-760-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROWSKI",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP117091",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "638157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.