Jesilinah Manga Mwanyalo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP126987 Issued in TX

Practice address

200 N I 35 Ste E
Red Oak, TX 75154-4301

Phone

(469) 807-3177

Fax

(469) 807-3179

NPI assigned

Dec 8, 2014

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primamed Physicians, PLLCGroup PAC ID 9234027897, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jesilinah.mwanyalofnp.p11@direct.nextcare.nextgenshare.com

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.

• Primamed Physicians PLLC

  dba Baylor Scott & White Urgent Care Plus

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1164494068
  Medicare reassignment Care Compare group
• Primamed Physicians PLLC

  dba Baylor Scott & White Urgent Care Plus

  • Urgent Care Clinic/Center
  • Plano, TX
  • NPI 1619922549
  NPD
• Amarillo Primary Care PLLC

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1447761267
  NPD (past)
• Citimed, P.a.

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1487823316
  NPD (past)

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1932507944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N I 35 STE E",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544301",
            "telephone_number": "469-807-3177",
            "fax_number": "469-807-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N I 35 STE E",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544301",
            "telephone_number": "469-807-3177",
            "fax_number": "469-807-3179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 S Coulter St",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791063705",
            "country_code": "US",
            "telephone_number": "806-352-5400",
            "fax_number": "806-352-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "642 Uptown Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cedar Hill",
            "state": "TX",
            "postal_code": "751043520",
            "country_code": "US",
            "telephone_number": "972-637-5100",
            "fax_number": "972-637-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MWANYALO",
        "first_name": "JESILINAH",
        "middle_name": "MANGA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Dental Professionals-Dallas Fort Worth, PC (Monarch Dental)
• Modern Focus Eyecare
• Aareon Moore, LPC
• Mountain of Strength Counseling Services, PLLC
• Linnet Litakuli Musee
• Myc Urgent Care LLC (MYC Urgent Care)
• National Athletic Trainers Association
• Melinda Nelson, ATC, LAT
• Brian Hieu Nguyen, MD
• Vu Uy Nguyen, PHARMD

• Family Nurse Practitioner in Red Oak, TX
• Providers in Red 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 Sep 22, 2023; 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.