Individual provider Active NPI

Mandy Denee' McQueen, FNP-C

  • Family Nurse Practitioner
  • Brownfield, TX
National Provider Identifier
1851727762
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
696452 Issued in TX
Practice address
703 E Felt St
Brownfield, TX 79316-3439
Phone
(806) 637-1955
NPI assigned
Sep 24, 2013
Last updated
Sep 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 696452 TX Primary

Addresses

Primary practice location

703 E Felt St
Brownfield, TX 79316-3439

Mailing address

703 E Felt St
Brownfield, TX 79316-3439
Phone (806) 637-1955

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
I20160330002072 TX Practitioner - Nurse Practitioner 0547567950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Terry Memorial Hospital DistrictGroup PAC ID 0042281545, 16 clinicians

Practice addresses (Care Compare)

705 E Felt St
Brownfield, TX 79316-3439
Phone (806) 637-7979

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
696452TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Terry Memorial Hospital District CurrentSince Nov 8, 2023 Accepting new patients
Terry Memorial Hospital District CurrentSince Nov 8, 2023 Accepting new patients
Terry Memorial Hospital District Past Accepting new patients

Locations

703 E Felt St
Brownfield, TX 79316
Phone (806) 637-1955

705 E Felt St
Brownfield, TX 79316
Phone (806) 637-1955

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1851727762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E FELT ST",
            "city": "BROWNFIELD",
            "state": "TX",
            "postal_code": "793163439",
            "telephone_number": "806-637-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E FELT ST",
            "city": "BROWNFIELD",
            "state": "TX",
            "postal_code": "793163439",
            "telephone_number": "806-637-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "MANDY",
        "middle_name": "DENEE'",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "696452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownfield, TX

Sources for this page

Verify at the official NPI Registry.