Active NPI
Elijah Nyasende, NP
- Family Nurse Practitioner
- McKinney, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP133895
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP133895 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Urgent Care | Current | Accepting new patients | |
| Minuteclinic Diagnostic of Texas PLLC | Single Specialty | Current | Accepting new patients |
| Rehabilitation & Physical Medicine LLC | Single Specialty | Current | Accepting new patients |
| Minuteclinic Diagnostic of Texas PLLC | Single Specialty | Current | Accepting new patients |
| American Current Care, P.a. | Single Specialty | Current | Accepting new patients |
| Communitymed PCP | Single Specialty | Current | Accepting new patients |
| American Current Care P.a. | Single Specialty | Current | Accepting new patients |
| Communitymed PLLC | Single Specialty | Current | 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
- 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.
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1275651002
Single Specialty
-
- Family Nurse Practitioner
- Round Rock, TX
- NPI 1609076330
Single Specialty
-
- Physical Medicine & Rehabilitation Physician
- Irving, TX
- NPI 1437470358
Single Specialty
-
- Clinical Social Worker
- Katy, TX
- NPI 1740898188
Single Specialty
-
- Urgent Care Clinic/Center
- Frisco, TX
- NPI 1790381432
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.