Mansour Acmad Usudan, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP143899 Issued in TX

Practice address

208 Starr St Ste 1
Mercedes, TX 78570-2736

Phone

(956) 968-1621

NPI assigned

Nov 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Mansour Usudan Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Rio Grande Valley Adult & Internal Medicine Specialists PLLC

  • Internal Medicine Physician
  • Weslaco, TX
  • NPI 1528039120
  Medicare reassignment NPD
• Mid Valley Adult Specialists PA

  • Internal Medicine Physician
  • Weslaco, TX
  • NPI 1104009513
  NPD (past)
• Rio Grande Valley Adult & Internal Medicine Specialists PA

  • Pediatrics Physician
  • Weslaco, TX
  • NPI 1619281953
  NPD (past)

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1942846837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 S HUMMER LN",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393128",
            "telephone_number": "956-424-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 STARR ST STE 1",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702736",
            "telephone_number": "956-968-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USUDAN",
        "first_name": "MANSOUR",
        "middle_name": "ACMAD",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANSOUR",
            "last_name": "USUDAN",
            "prefix": "MR.",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tigres Adult Day Care LLC
• Touchstone Strategies - Mercedes LLC
• Christian Charles Ramirez Trajano, M.D.
• Douglas Tschoepe, OTR
• Sarah Sophia Urbina
• Uvalde County Hospital Authority
• Samantha Valdez, LPC
• Hannah Faith Valdivia, SLPA
• Monica Valeria Vallejo Neacato, MD
• Luis Florentino Vazquez Justiniano, M.D.

• Family Nurse Practitioner in Mercedes, TX
• Providers in Mercedes, 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 Nov 26, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.