Individual provider Active NPI

Mercy Osaghae, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Katy, TX
National Provider Identifier
1972169332
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
29959 Issued in TX
Practice address
26622 Cook Field Rd
Katy, TX 77494-2123
Phone
(281) 917-0667
Fax
(832) 743-1997
NPI assigned
May 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 29959 TX Primary

Addresses

Primary practice location

26622 Cook Field Rd
Katy, TX 77494-2123

Mailing address

26622 Cook Field Rd Ste 700
Katy, TX 77494-1138
Phone (281) 917-0667

Other identifiers 1

IdentifierTypeStateIssuer
AP141351OtherTXLICENSE NUMBER

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
I20190611002821 TX Practitioner - Nurse Practitioner 9638402373 Reassigns benefits to 3 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

Practice addresses (Care Compare)

26622 Cook Field Rd
Suite 700
Katy, TX 77494-1138
Phone (281) 917-0667

3733 S Port Ave
Corpus Christi, TX 78415-4532
Phone (361) 886-6900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29959TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nueces County Mental Health & Mental Retardation Community Ctr Single Specialty CurrentSince Jan 14, 2024 Accepting new patients
Alpha Psychiatric Health LLC Single Specialty CurrentSince Apr 1, 2021 Accepting new patients
Kinghaven Counseling Group Inc Single Specialty CurrentSince May 15, 2019 Accepting new patients

Locations

1630 S Brownlee Blvd
Corpus Christi, TX 78404
Phone (361) 980-9652

1546 S Brownlee Blvd
Corpus Christi, TX 78404
Phone (361) 886-6970

3733 S Port Ave
Corpus Christi, TX 78415
Phone (361) 886-4628

6315 Gulfton St
Ste 100
Houston, TX 77081
Phone (713) 457-4357

26622 Cook Field Rd
Ste 700
Katy, TX 77494
Phone (281) 917-0667

2717 Commercial Center Blvd
Ste E200
Katy, TX 77494
Phone (281) 865-5433

1690 S Fry Rd
Katy, TX 77450

26622 Cook Field Rd
Katy, TX 77494
Phone (281) 766-3831

2007 N Collins Blvd
Ste 303
Richardson, TX 75080
Phone (972) 947-4112

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": "1557532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1972169332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26622 COOK FIELD RD STE 700",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941138",
            "telephone_number": "281-917-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26622 COOK FIELD RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942123",
            "telephone_number": "281-917-0667",
            "fax_number": "832-743-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAGHAE",
        "first_name": "MERCY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-11",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "29959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AP141351",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.