Individual provider Active NPI

Geraldine Taer Campos, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1528634649
Registry record updated May 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1029214 Issued in TX
Practice address
7915 FM 1960 Rd W Ste 122
Houston, TX 77070-5716
Phone
(832) 245-4816
NPI assigned
May 30, 2021
Last updated
May 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1029214 TX Primary

Addresses

Primary practice location

7915 FM 1960 Rd W Ste 122
Houston, TX 77070-5716

Mailing address

7915 FM 1960 Rd W Ste 122
Houston, TX 77070-5716
Phone (678) 739-1879

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
I20241108001095 TX Practitioner - Nurse Practitioner 2163956434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Urgent Care, PLLCGroup PAC ID 9133146780, 15 clinicians

Practice addresses (Care Compare)

19304 Katy Fwy
Suite 100
Houston, TX 77094-1008
Phone (281) 829-9900

25801 Hwy 290
Cypress, TX 77429-1049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1029214TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Urgent Care PLLC CurrentSince Sep 1, 2024 Accepting new patients
Excel Urgent Care PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

25402 Northwest Fwy
Ste 101
Cypress, TX 77429
Phone (281) 304-1100

19304 Katy Fwy
Ste 100
Houston, TX 77094
Phone (281) 304-1100

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": "1622332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622332800000",
    "number": "1528634649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 FM 1960 RD W STE 122",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705716",
            "telephone_number": "678-739-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 FM 1960 RD W STE 122",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705716",
            "telephone_number": "832-245-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "GERALDINE",
        "middle_name": "TAER",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-30",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1029214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.