Active NPI
Nancy C Ifemesia, NP
- Acute Care Nurse Practitioner
- Allen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1075592
- Practice address
- 1105 Central Expy N
Allen, TX 75013-6103 - Phone
- (972) 747-1000
- NPI assigned
- May 7, 2022
- 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 | 1075592 | TX | Primary |
Addresses
Primary practice location
1105 Central Expy N
Allen, TX 75013-6103
Mailing address
1114 Bridgeway LN
Allen, TX 75013-5625
Phone (631) 220-8213
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)
5252 W University Dr
McKinney, TX 75071-7822
Phone (469) 764-6950
821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1075592 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lne Healthcare Services of North Texas LLC | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients |
Locations
301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742
402 W Wheatland Rd
Ste 150
Duncanville, TX 75116
Phone (631) 220-8213
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- nifemesia1396291@direct.sw.org
Organizations & group practices 4
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.
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- NPI 1003811639
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Psychiatric/Mental Health Nurse Practitioner
- Duncanville, TX
- NPI 1104470715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651881600000",
"number": "1760128359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 BRIDGEWAY LN",
"city": "ALLEN",
"state": "TX",
"postal_code": "750135625",
"telephone_number": "631-220-8213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 CENTRAL EXPY N",
"city": "ALLEN",
"state": "TX",
"postal_code": "750136103",
"telephone_number": "972-747-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IFEMESIA",
"first_name": "NANCY",
"middle_name": "C",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-07",
"last_updated": "2022-05-07",
"certification_date": "2022-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1075592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 7, 2022; 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.