Active NPI
Nisha Mary George, RN, APRN, AGACNP
- Acute Care Nurse Practitioner
- Allen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1098461
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1098461 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Current | Accepting new patients | |
| Texas Neurological Surgery PLLC | Current | Accepting new patients | |
| Texas Digestive Disease Consultants, PLLC | Current | Accepting new patients | |
| Texas Digestive Disease Consultants PLLC | Current | 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.
-
- Neurological Surgery Physician
- Frisco, TX
- NPI 1053176784
-
- Gastroenterology Physician
- Irving, TX
- NPI 1053397331
-
- Gastroenterology Physician
- Flower Mound, TX
- NPI 1689650475
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
-
- Neurological Surgery Physician
- Frisco, TX
- NPI 1477031821
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.