Individual provider Active NPI

Martin Njume Mboe, RN

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1679753826
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1122645 Issued in TX
Practice address
7115 Blanco Rd Ste 101
San Antonio, TX 78216-5045
Phone
(800) 640-3451
NPI assigned
Nov 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 743983 TX
Family Nurse Practitioner 363LF0000X 1122645 TX Primary

Addresses

Primary practice location

7115 Blanco Rd Ste 101
San Antonio, TX 78216-5045

Mailing address

PO Box 1200
Pleasant Grove, UT 84062-1200
Phone (800) 640-3451

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
I20230731000627 TX Practitioner - Nurse Practitioner 4981739505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10901 Stonelake Blvd
Austin, TX 78759-5749

14007 Cole Point Dr
Humble, TX 77396-1109

324 Palisade Ave
Apt 1F
Yonkers, NY 10703-2919

4425 Plano Pkwy
Suite 203
Carrollton, TX 75010-5000

4714 FM 1488 Rd
Suite 132
Conroe, TX 77384-3958

5901 W Century Blvd
Suite 750
Los Angeles, CA 90045-3443

6800 Big Bend LN
Arlington, TX 76002-3510

PO Box
Suite 1200
Pleasant Grove, UT 84062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
743983TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care 2 U, LLC CurrentSince Jul 19, 2023 Accepting new patients
Medinet Healthcare Agency Inc Family Medicine CurrentSince Aug 8, 2025 Accepting new patients
Heaven on Earth Home Health Agency Inc CurrentSince Mar 24, 2025 Accepting new patients

Locations

4425 Plano Pkwy
Ste 203
Carrollton, TX 75010
Phone (972) 752-6206

4714 FM 1488 Rd
Ste 132
Conroe, TX 77384
Phone (877) 868-2528

1000 Legacy Ranch Rd
Waxahachie, TX 75165
Phone (877) 868-2527

Organizations & group practices 3

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": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1679753826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840621200",
            "telephone_number": "800-640-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 BLANCO RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165045",
            "telephone_number": "800-640-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBOE",
        "first_name": "MARTIN",
        "middle_name": "NJUME",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "743983",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1122645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.