Mandy Gail Coffey, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1117196 Issued in TX

Practice address

353 Iris Dr
White Oak, TX 75693-2722

Phone

(903) 931-1091

NPI assigned

Jan 18, 2024

Sex

Female

Sole proprietor

No

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

White Oak Family MedicineGroup PAC ID 2769717248, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Texas Home health agency, Longview, TX, CCN 679090
• Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032
• Longview Regional Medical Center Hospital, Longview, TX, CCN 450702

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• White Oak Family Medicine

  • Family Medicine Physician
  • White Oak, TX
  • NPI 1134787625
  Medicare reassignment Care Compare group NPD
• Southwest Texas Two Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1659950475
  NPD (past)

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

• Christus Good Shepherd Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1124092036
  Care Compare affiliation
• Longview Medical Center LP

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1528026267
  Care Compare affiliation
• Texas Home Health Skilled Services,LP

  • Home Health Agency
  • Longview, TX
  • NPI 1669695722
  Care Compare affiliation

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1891556635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 IRIS DR",
            "city": "WHITE OAK",
            "state": "TX",
            "postal_code": "756932722",
            "telephone_number": "903-931-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 IRIS DR",
            "city": "WHITE OAK",
            "state": "TX",
            "postal_code": "756932722",
            "telephone_number": "903-931-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "MANDY",
        "middle_name": "GAIL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1117196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Nicole Boyd
• Courtney Brantley, PTA
• Linda Susan Breitenberg, RPH
• Brookshire Grocery Company
• John C Burkett
• Craig Eye Associates
• DCS Medical PA
• Emmanuel Living and Activity Centers, LLC
• Laramie Diane Forbes, PHARMD
• Bailey C Glenn

• Family Nurse Practitioner in White Oak, TX
• Providers in White Oak, 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 Jan 18, 2024; 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.