Individual provider Active NPI

Ellen Miftari, APRN, AGNP-C

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1962863498
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP131402 Issued in TX
Practice address
20405 State Highway 249 Ste 325
Houston, TX 77070-2893
Phone
(866) 849-0692
NPI assigned
Mar 10, 2016
Sex
Female
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 12

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 245003 LA
Nurse Practitioner 363L00000X 907882 MS
Nurse Practitioner 363L00000X 5023586 NC
Nurse Practitioner 363L00000X APRN11042335 FL
Nurse Practitioner 363L00000X 289344 AZ
Nurse Practitioner 363L00000X AP131402 TX Primary
Nurse Practitioner 363L00000X 3-002207 AL
Nurse Practitioner 363L00000X 31304 SC
Nurse Practitioner 363L00000X 226430 OK
Nurse Practitioner 363L00000X C-APN.0104424-C-NP CO
Nurse Practitioner 363L00000X 0043168 OH
Nurse Practitioner 363L00000X 38191 TN

Addresses

Primary practice location

20405 State Highway 249 Ste 325
Houston, TX 77070-2893

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160419000242 TX Practitioner - Nurse Practitioner 5698073054 Reassigns benefits to 1 organization
Practice locations: Webster, TX; Pearland, TX; League City, TX; Friendswood, TX
I20240423002233 AZ Practitioner - Nurse Practitioner 5698073054 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3-002207ALMDNurse Practitioner
C-APN.0104424-C-NPCOMDNurse Practitioner
APRN11042335FLMDNurse Practitioner
245003LAMDNurse Practitioner
907882MSMDNurse Practitioner
5023586NCMDNurse Practitioner
226430OKMDNurse Practitioner
31304SCMDNurse Practitioner
38191TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Internal Medicine Care PLLC CurrentSince Aug 1, 2019 Accepting new patients
Devoted Medical Group Professional Corporation CurrentSince Apr 5, 2024 Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Nov 1, 2022 Accepting new patients

Locations

16435 N Scottsdale Rd
Ste 285
Scottsdale, AZ 85254
Phone (520) 346-4431

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202

20405 State Highway 249
Ste 325
Houston, TX 77070
Phone (713) 597-5114

411 Alabama Ave
League City, TX 77573
Phone (281) 332-9588

5020 Space Center Blvd
Pasadena, TX 77505
Phone (713) 575-1800

3400 E Walnut St
Pearland, TX 77581
Phone (281) 485-2776

17231 Mill Forest Rd
Webster, TX 77598
Phone (281) 488-5224

110 E Medical Center Blvd
Webster, TX 77598
Phone (281) 218-8797

709 W Medical Center Blvd
Webster, TX 77598
Phone (281) 316-8070

350 Blossom St
Webster, TX 77598
Phone (281) 316-7800

655 E Medical Center Blvd
Webster, TX 77598
Phone (281) 218-8797

409 Greene St
Webster, TX 77598
Phone (281) 332-4738

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1962863498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20405 STATE HIGHWAY 249 STE 325",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702893",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIFTARI",
        "first_name": "ELLEN",
        "credential": "APRN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "245003",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "907882",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5023586",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11042335",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "289344",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP131402",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "3-002207",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "31304",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "226430",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0104424-C-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0043168",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "38191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.