Individual provider Active NPI

Elijah Nyasende, NP

  • Family Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1760891568
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133895 Issued in TX
Practice address
3805 W University Dr Ste 100
McKinney, TX 75071-2944
Phone
(469) 495-9102
NPI assigned
Aug 5, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/CenterGroup: 193400000X SINGLE SPECIALTY GROUP 261QP2300X
Family Nurse Practitioner 363LF0000X AP133895 TX Primary

Addresses

Primary practice location

3805 W University Dr Ste 100
McKinney, TX 75071-2944

Mailing address

3805 W University Dr Ste 100
McKinney, TX 75071-2944
Phone (469) 495-9102

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address enyasende1668346@direct.texashealth.org Health Information Exchange (HIE)

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
I20170831000066 TX Practitioner - Nurse Practitioner 9032482716 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1621 S Jupiter Rd
Suite 101
Garland, TX 75042-7793
Phone (214) 340-7555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP133895TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care CurrentSince May 1, 2022 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Single Specialty CurrentSince Sep 10, 2021 Accepting new patients
Rehabilitation & Physical Medicine LLC Single Specialty CurrentSince Jun 14, 2017 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Single Specialty CurrentSince Sep 10, 2021 Accepting new patients
American Current Care, P.a. Single Specialty CurrentSince Mar 25, 2024 Accepting new patients
Communitymed PCP Single Specialty CurrentSince Mar 18, 2024 Accepting new patients
American Current Care P.a. Single Specialty CurrentSince Mar 25, 2024 Accepting new patients
Communitymed PLLC Single Specialty CurrentSince Mar 18, 2024 Accepting new patients
Texas Health Urgent Care Single Specialty Current Accepting new patients
Texas Health Urgent Care Single Specialty Current Accepting new patients

Locations

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

6320 US 287 Hwy
Ste 112
Arlington, TX 76001
Phone (817) 778-9883

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

7930 Northaven Rd
Dallas, TX 75230
Phone (214) 706-8200

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

1621 S Jupiter Rd
Ste 101
Garland, TX 75042
Phone (214) 340-7555

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

3020 E Broad St
Ste 100
Mansfield, TX 76063
Phone (682) 282-4014

3805 W University Dr
Ste 100
McKinney, TX 75071
Phone (469) 495-9102

3591 McKinney St
Ste 400A
Melissa, TX 75454
Phone (729) 464-1611

3591 McKinney St
Ste 400B
Melissa, TX 75454
Phone (972) 449-0430

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

5208 Tennyson Pkwy
Ste 100
Plano, TX 75024
Phone (469) 802-7298

819 W Arapaho Rd
Ste 24B
Richardson, TX 75080
Phone (469) 773-0710

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

16515 Lexington Blvd
Sugar Land, TX 77479
Phone (281) 980-6666

3210 Midwestern Pkwy
Ste 500A
Wichita Falls, TX 76308
Phone (940) 488-4616

Interoperability endpoints

  • Direct secure messaging: enyasende1668346@direct.texashealth.org

Organizations & group practices 10

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": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1760891568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 W UNIVERSITY DR STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750712944",
            "telephone_number": "469-495-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 W UNIVERSITY DR STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750712944",
            "telephone_number": "469-495-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYASENDE",
        "first_name": "ELIJAH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-05",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "enyasende1668346@direct.texashealth.org",
            "affiliation": "N",
            "endpointDescription": "health information exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3805 W University Dr Ste 100",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750712944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.