Individual provider Active NPI

Mercy C Olumuyiwa

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1598129504
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129846 Issued in TX
Practice address
511 W Tidwell Rd
Houston, TX 77091-4338
Phone
(512) 207-0059
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 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 AP129846 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP129846 TX

Addresses

Primary practice location

511 W Tidwell Rd
Houston, TX 77091-4338

Mailing address

6014 Turner Shadow LN
Sugar Land, TX 77479-3629

Other practice location 1

6014 Turner Shadow Ln
Sugar Land, TX 77479-3629
Phone (713) 231-4851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VT2 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
I20160520000355 TX Practitioner - Nurse Practitioner 4082903620 Reassigns benefits to 2 organizations
I20221116003102 VT Practitioner - Nurse Practitioner 4082903620 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Oct 18, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 1, 2019 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 1, 2018 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 1, 2018 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Texas Home Physicians Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

145 Pine Haven Shores Rd
Shelburne, VT 05482
Phone (802) 316-4135

Interoperability endpoints

  • Direct secure messaging: mercy.olumuyiwa.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: mercy.olumuyiwa.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 6

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1598129504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 TURNER SHADOW LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W TIDWELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914338",
            "telephone_number": "512-207-0059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6014 Turner Shadow Ln",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774793629",
            "country_code": "US",
            "telephone_number": "713-231-4851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLUMUYIWA",
        "first_name": "MERCY",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129846",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP129846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.