NPIMap

Individual provider Active NPI

Ashleigh Mangus

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1548770787
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134559 Issued in TX
Practice address
4015 Interstate 45 N Suite 330 Ste 330
Conroe, TX 77304-3249
Phone
(936) 539-4700
NPI assigned
Oct 2, 2017
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 AP134559 TX Primary
Family Medicine Physician 207Q00000X AP134559 TX

Addresses

Primary practice location

4015 Interstate 45 N Suite 330 Ste 330
Conroe, TX 77304-3249

Mailing address

10740 N Gessner Rd
Houston, TX 77064-1240
Phone (281) 897-0416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230123000385 TX Practitioner - Nurse Practitioner 3678944048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Ear, Nose and Throat Specialists, PLLCGroup PAC ID 5799770202, 123 clinicians

Practice addresses (Care Compare)

4015 Interstate 45 N
Suite 330
Conroe, TX 77304-5077
Phone (936) 539-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ear, Nose & Throat Specialists, PLLC CurrentSince May 15, 2023 Accepting new patients
Aj Marshall Medical, PLLC CurrentSince Dec 1, 2022 Accepting new patients
Aj Marshall, LLC CurrentSince Dec 1, 2022 Accepting new patients
Noble Anesthesia Partners, PLLC Past Accepting new patients

Locations

4015 Interstate 45 N
Ste 330
Conroe, TX 77304
Phone (936) 539-4700

7900 Fannin St
#1900
Houston, TX 77054
Phone (713) 791-9363

6910 FM 1488 Rd
Ste 3
Magnolia, TX 77354
Phone (281) 630-3836

17099 Walden Rd
Ste 100
Montgomery, TX 77356
Phone (281) 630-3836

9301 Pinecroft Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 362-1368

2255 E Mossy Oaks Rd
Ste 400
Spring, TX 77389
Phone (832) 678-8380

9301 Pinecroft Dr
Ste 100
The Woodlands, TX 77380
Phone (281) 364-1001

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1548770787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 N GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641240",
            "telephone_number": "281-897-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 INTERSTATE 45 N SUITE 330 STE 330",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043249",
            "telephone_number": "936-539-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUS",
        "first_name": "ASHLEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134559",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP134559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.