Individual provider Active NPI

Mercedita Flynn, FNP

  • Family Nurse Practitioner
  • Beeville, TX
National Provider Identifier
1619166188
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
646886 Issued in TX
Practice address
1602 E Houston St
Ste C
Beeville, TX 78102-5326
Phone
(361) 358-9200
Fax
(361) 362-1671
NPI assigned
Oct 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 646886 TX Primary

Addresses

Primary practice location

1602 E Houston St
Ste C
Beeville, TX 78102-5326

Mailing address

193 Private Road 4001
Beeville, TX 78102-8758

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
I20100215000614 TX Practitioner - Nurse Practitioner 2860536810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Bend Urgent Care LLC 4 clinicians

Practice addresses (Care Compare)

301 S Hillside Dr
Suite 4
Beeville, TX 78102-5324
Phone (361) 226-1126

Hospital & facility affiliations

  • Santa Fe Health Care Inc Home health agency, Benavides, TX, CCN 453121
  • Christus Spohn Hospital Beeville Hospital, Beeville, TX, CCN 450082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
646886TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ucp Physicians of Central Texas, PLLC Current Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Mar 1, 2016 Accepting new patients
Twin Fountains Urgent Care Center Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Webster Surgical Specialty Hospital, LLC Past Accepting new patients

Locations

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

3002 Sam Houston Dr
Victoria, TX 77904
Phone (361) 575-4100

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.

Hospital & facility affiliations 2

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": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1619166188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 PRIVATE ROAD 4001",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781028758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 E HOUSTON ST",
            "address_2": "STE C",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025326",
            "telephone_number": "361-358-9200",
            "fax_number": "361-362-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "MERCEDITA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "646886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beeville, TX

Sources for this page

Verify at the official NPI Registry.