Individual provider Active NPI

Joel Nieves Morcilla, FNP-C

  • Family Nurse Practitioner
  • Baytown, TX
National Provider Identifier
1942832191
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145635 Issued in TX
Practice address
1113 W Baker Rd
Baytown, TX 77521-2391
Phone
(281) 838-8412
NPI assigned
Feb 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 861301 TX
Family Nurse Practitioner 363LF0000X AP145635 TX Primary

Addresses

Primary practice location

1113 W Baker Rd
Baytown, TX 77521-2391

Mailing address

10511 Shanley Trace LN
Richmond, TX 77407-2725
Phone (713) 518-3236

Other practice location 1

11476 Space Center Blvd Ste 100
Houston, TX 77059-3656
Phone (713) 486-6325

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
I20201117000692 TX Practitioner - Nurse Practitioner 8426469800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Haider Afzal MD PAGroup PAC ID 3577694496, 3 clinicians

Practice addresses (Care Compare)

1690 W Baker Rd B
Baytown Family Clinic
Baytown, TX 77521-2416
Phone (281) 428-8203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
861301TXMDEmergency Registered Nurse
AP145635TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince May 2, 2022 Accepting new patients
Ut Physicians CurrentSince May 2, 2022 Accepting new patients
Haider Afzal MD PA CurrentSince Nov 1, 2020 Accepting new patients

Locations

1690 W Baker Rd
Baytown, TX 77521

1113 W Baker Rd
Baytown, TX 77521
Phone (281) 201-8243

1690 W Baker Rd
Ste B
Baytown, TX 77521
Phone (281) 428-8203

15119 Wallisville Rd
Ste 700
Houston, TX 77049
Phone (832) 538-0243

11476 Space Center Blvd
Ste 100
Houston, TX 77059
Phone (713) 486-6325

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

11476 Space Center Blvd
Houston, TX 77059
Phone (281) 332-8571

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1942832191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 SHANLEY TRACE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072725",
            "telephone_number": "713-518-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 W BAKER RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212391",
            "telephone_number": "281-838-8412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11476 Space Center Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770593656",
            "country_code": "US",
            "telephone_number": "713-486-6325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORCILLA",
        "first_name": "JOEL",
        "middle_name": "NIEVES",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TX",
            "license": "861301",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.