Individual provider Active NPI

Irma Mickle, NP

  • Family Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1558301150
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP111066 Issued in TX
Practice address
9006 N Navarro St Ste B
Victoria, TX 77904-1566
Phone
(361) 485-0500
NPI assigned
Jun 8, 2006
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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 AP111066 TX Primary
Nurse Practitioner 363L00000X 249963 TX

Addresses

Primary practice location

9006 N Navarro St Ste B
Victoria, TX 77904-1566

Mailing address

9006 N Navarro St Ste B
Victoria, TX 77904-1566
Phone (361) 485-0500

Other practice location 1

510 E Rio Grande St
Victoria, TX 77901-6033
Phone (361) 582-0803

Other identifiers 1

IdentifierTypeStateIssuer
149335504MedicaidTX

Other names 1

  • Irma Rodriquez Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address irma.mickle.1@1902.direct.athenahealth.com

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
I20050613001125 TX Practitioner - Nurse Practitioner 8022052828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Management AssociatesGroup PAC ID 7810299187, 35 clinicians

Practice addresses (Care Compare)

4006 Vista Rd
Pasadena, TX 77504-2112
Phone (888) 365-6271

Merit-based Incentive Payment System (MIPS)

Final score
79.54 of 100Reported as group
Quality
72.94
Improvement activities
40
Cost
48.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP111066TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Med Management Associates CurrentSince Feb 19, 2021 Accepting new patients

Locations

4006 Vista Rd
Pasadena, TX 77504
Phone (713) 943-1592

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Interoperability endpoints

  • Direct secure messaging: irma.mickle.1@1902.direct.athenahealth.com

Organizations & group practices 1

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1558301150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 N NAVARRO ST STE B",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041566",
            "telephone_number": "361-485-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9006 N NAVARRO ST STE B",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041566",
            "telephone_number": "361-485-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 E Rio Grande St",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779016033",
            "country_code": "US",
            "telephone_number": "361-582-0803",
            "fax_number": "361-582-0807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICKLE",
        "first_name": "IRMA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP111066",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "249963",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149335504",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "irma.mickle.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "9006 N Navarro St Ste B",
            "city": "Victoria",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779041566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "IRMA",
            "last_name": "RODRIQUEZ",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.