Individual provider Active NPI

Maryann M Efesoa, DNP, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Flower Mound, TX
National Provider Identifier
1659703023
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP123893 Issued in TX
Practice address
2201 Spinks Rd Ste 133
Flower Mound, TX 75022-4451
Phone
(469) 309-7834
Fax
(469) 252-7098
NPI assigned
Aug 7, 2013
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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 AP123893 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP123893 TX

Addresses

Primary practice location

2201 Spinks Rd Ste 133
Flower Mound, TX 75022-4451

Mailing address

2201 Spinks Rd Ste 133
Flower Mound, TX 75022-4451
Phone (469) 309-7834

Other identifiers 3

IdentifierTypeStateIssuer
325730501MedicaidTX
325730503MedicaidTX
325730502MedicaidTX

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
I20131021000705 TX Practitioner - Nurse Practitioner 0648330290 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
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2201 Spinks Rd
Suite 133
Flower Mound, TX 75022-4451
Phone (469) 309-7834

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Sep 1, 2013 Accepting new patients
Texas Health Physicians Group CurrentSince Sep 1, 2013 Accepting new patients
Avistar Home Health Agency CurrentSince May 3, 2021 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

1615 Hospital Pkwy
Ste 103
Bedford, TX 76022
Phone (817) 684-3500

1924 Forest Ridge Dr
Ste B
Bedford, TX 76021
Phone (817) 354-2680

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

2201 Spinks Rd
Ste 133
Flower Mound, TX 75022
Phone (214) 430-0996

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avistar Home Health AgencyFlower Mound, TX, CCN 748120 Home health agency 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee
Operational/Managerial Control
May 19, 2021
May 1, 2021
May 3, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1659703023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SPINKS RD STE 133",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224451",
            "telephone_number": "469-309-7834",
            "fax_number": "469-252-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SPINKS RD STE 133",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224451",
            "telephone_number": "469-309-7834",
            "fax_number": "469-252-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFESOA",
        "first_name": "MARYANN",
        "middle_name": "M",
        "credential": "DNP, FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123893",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP123893",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325730501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325730503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325730502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.