Individual provider Active NPI

Nisha Mary George, RN, APRN, AGACNP

  • Acute Care Nurse Practitioner
  • Allen, TX
National Provider Identifier
1750071908
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1098461 Issued in TX
Practice address
981 State Highway 121 Ste 1140
Allen, TX 75013-6148
Phone
(469) 697-5100
Fax
(469) 697-5105
NPI assigned
May 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1098461 TX Primary

Addresses

Primary practice location

981 State Highway 121 Ste 1140
Allen, TX 75013-6148

Mailing address

PO Box 35629
Dallas, TX 75235-0629
Phone (214) 424-2200

Other practice location 1

7124 Occidental Rd
Plano, TX 75025-6308
Phone (469) 235-3885

Other names 1

  • Nisha Mary Poulose Other name

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
I20230629000816 TX Practitioner - Nurse Practitioner 6103285879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Neurological Surgery PLLCGroup PAC ID 4385186279, 2 clinicians

Practice addresses (Care Compare)

5680 Frisco Square Blvd
Suite 2400
Frisco, TX 75034-3300
Phone (469) 656-9041

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1098461TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC CurrentSince Jul 28, 2023 Accepting new patients
Texas Neurological Surgery PLLC CurrentSince Jul 3, 2024 Accepting new patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Jul 28, 2023 Accepting new patients
William T McCullough MD PA Past Accepting new patients

Locations

981 State Highway 121
Ste 1140
Allen, TX 75013
Phone (469) 697-5100

5680 Frisco Square Blvd
Ste 2400
Frisco, TX 75034
Phone (469) 656-9041

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1750071908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35629",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752350629",
            "telephone_number": "214-424-2200",
            "fax_number": "214-231-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 STATE HIGHWAY 121 STE 1140",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136148",
            "telephone_number": "469-697-5100",
            "fax_number": "469-697-5105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7124 Occidental Rd",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750256308",
            "country_code": "US",
            "telephone_number": "469-235-3885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "NISHA",
        "middle_name": "MARY",
        "credential": "RN, APRN, AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1098461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NISHA",
            "last_name": "POULOSE",
            "middle_name": "MARY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.