Individual provider Active NPI

Inna Villanueva Mercado, MSN, RN, NP, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1568024339
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145893 Issued in TX
Practice address
1003 Richmond Ave
Houston, TX 77006-5419
Phone
(713) 807-8491
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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 NP95010781 CA
Family Nurse Practitioner 363LF0000X AP145893 TX Primary

Addresses

Primary practice location

1003 Richmond Ave
Houston, TX 77006-5419

Mailing address

1003 Richmond Ave
Houston, TX 77006-5419
Phone (832) 283-2490

Other practice location 1

1350 Florin Rd
Sacramento, CA 95822-4202
Phone (916) 392-5184 ext. 8221

Other practice location 2

1001 Nut Tree Rd Ste 110
Vacaville, CA 95687-4166
Phone (707) 455-8724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201020001460 CA Practitioner - Nurse Practitioner 7911327556 Reassigns benefits to 2 organizations
I20210920000499 TX Practitioner - Nurse Practitioner 7911327556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Bend Family Health Center IncGroup PAC ID 7113999780, 18 clinicians

Practice addresses (Care Compare)

400 Austin St
Richmond, TX 77469-4406
Phone (281) 342-4530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95010781CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince May 15, 2021 Accepting new patients
Memorial Hermann Medical Group CurrentSince Sep 25, 2022 Accepting new patients
Fort Bend Family Health Center, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Aug 7, 2020 Accepting new patients
Fort Bend Family Health Center, Inc CurrentSince Jul 1, 2023 Accepting new patients
Fort Bend Family Health Center, Inc Past Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

987 E Hillsdale Blvd
Foster City, CA 94404
Phone (650) 570-4631

1350 Florin Rd
Sacramento, CA 95822
Phone (916) 392-5184

1900 19th Ave
San Francisco, CA 94116
Phone (415) 664-1834

2514 Berryessa Rd
San Jose, CA 95132
Phone (408) 272-1431

2455 San Ramon Valley Blvd
San Ramon, CA 94583
Phone (925) 820-7325

2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

400 Austin St
Richmond, TX 77469
Phone (281) 342-4530

Interoperability endpoints

  • Direct secure messaging: inna.mercadovillanueva.p1@direct.accesshealth.nextgenshare.com

Organizations & group practices 11

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1568024339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065419",
            "telephone_number": "832-283-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065419",
            "telephone_number": "713-807-8491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Florin Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958224202",
            "country_code": "US",
            "telephone_number": "916-392-5184 x8221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Nut Tree Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956874166",
            "country_code": "US",
            "telephone_number": "707-455-8724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "INNA",
        "middle_name": "VILLANUEVA",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, NP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2021-10-08",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95010781",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.