Mussie Futwi Mebrahtu, FAMILY NURSE PRAC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP145162 Issued in TX

Practice address

214 Canterbury CT
Midlothian, TX 76065-1417

Phone

(469) 688-9765

NPI assigned

Mar 4, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quentin N Burdick Comprehensive Health Care FacilityGroup PAC ID 5496651853, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• P H S Indian Hosp at Belcourt-Quentin N Burdick Hospital, Belcourt, ND, CCN 350063

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmebrahtu1169840@direct.sw.org

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.

• Quentin N Burdick Comprehensive Health Care Facility

  • Rural Acute Care Hospital
  • Belcourt, ND
  • NPI 1952346934

  Single Specialty, TX

  Medicare reassignment Care Compare group NPD
• County of Yoakum

  • Critical Access Hospital
  • Denver City, TX
  • NPI 1790702371

  Single Specialty

  Medicare reassignment NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936

  Single Specialty

  Medicare reassignment NPD
• County of Yoakum

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Denver City, TX
  • NPI 1093706442
  NPD
• Healthtexas Provider Network

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583

  Single Specialty

  NPD

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

• Quentin N Burdick Comprehensive Health Care Facility

  • Rural Acute Care Hospital
  • Belcourt, ND
  • NPI 1952346934
  Care Compare affiliation

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1861027419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CANTERBURY CT",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760651417",
            "telephone_number": "469-688-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CANTERBURY CT",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760651417",
            "telephone_number": "469-688-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEBRAHTU",
        "first_name": "MUSSIE",
        "middle_name": "FUTWI",
        "credential": "FAMILY NURSE  PRAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Mayben
• Atabong Awung Mbelem, MD, RN
• Micah James McCuistion, PHARMD, RPH
• Jeffrey Michael McDaniel, M.D.
• Maegan McLemore
• Med Southwest, PLLC
• Laura R Megonigal, RN
• Kimberly Anne Mendoza, MS, LPC
• Lamonica Mercy, LPC-ASSOCIATE
• Methodist Hospitals of Dallas

• Family Nurse Practitioner in Midlothian, TX
• Providers in Midlothian, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.

Verify at the official NPI Registry.