NPIMap

Individual provider Active NPI

Cody Ray Mandrell, APRN

  • Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1912209073
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP119696 Issued in TX
Practice address
3502 9TH St Ste 430
Lubbock, TX 79415-3368
Phone
(806) 761-0535
Fax
(806) 761-0534
NPI assigned
Nov 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP119696 TX Primary

Addresses

Primary practice location

3502 9TH St Ste 430
Lubbock, TX 79415-3368

Mailing address

5219 City Bank Pkwy Ste 160
Lubbock, TX 79407-3544
Phone (806) 761-0333

Other practice location 1

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 761-0333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cody.mandrell@direct.myteamcare.com UMC Physicians

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110404000802 TX Practitioner - Nurse Practitioner 0446434146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umc PhysiciansGroup PAC ID 9830003631, 107 clinicians

Practice addresses (Care Compare)

3502 9TH St
Suite 430
Lubbock, TX 79415-3368
Phone (806) 761-0535

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP119696TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock County Hospital District Past Accepting new patients
Lubbock County Hospital District Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cody.mandrell@direct.myteamcare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1912209073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 160",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073544",
            "telephone_number": "806-761-0333",
            "fax_number": "806-785-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 9TH ST STE 430",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794153368",
            "telephone_number": "806-761-0535",
            "fax_number": "806-761-0534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794153364",
            "country_code": "US",
            "telephone_number": "806-761-0333",
            "fax_number": "806-785-7685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDRELL",
        "first_name": "CODY",
        "middle_name": "RAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-23",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP119696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cody.mandrell@direct.myteamcare.com",
            "affiliation": "Y",
            "affiliationName": "UMC Physicians",
            "address_1": "3502 9th St Ste 430",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794153368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.