Individual provider Active NPI

Michelle Pulpan, NP

  • Family Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1982132825
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133697 Issued in TX
Practice address
17183 I 45 S Ste 110
Shenandoah, TX 77385-3313
Phone
(936) 270-3480
Fax
(936) 270-3479
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP133697 TX
Family Nurse Practitioner 363LF0000X AP133697 TX Primary

Addresses

Primary practice location

17183 I 45 S Ste 110
Shenandoah, TX 77385-3313

Mailing address

17183 I 45 S Ste 110
Shenandoah, TX 77385-3313
Phone (936) 270-3480

Other identifiers 2

IdentifierTypeStateIssuer
378138701MedicaidTX
378138702MedicaidTX

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
I20171211000886 TX Practitioner - Nurse Practitioner 4183982606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

501 W Medical Ctr Blvd
Webster, TX 77598-4219
Phone (281) 332-7505

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP133697TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Aug 15, 2022 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 15, 2022 Accepting new patients
Texas Oncology PA CurrentSince Jun 19, 2023 Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Jun 19, 2023 Accepting new patients
Oncology Consultants, P. a. Past Accepting new patients

Locations

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

7737 Southwest Fwy
Ste 575
Houston, TX 77074
Phone (713) 275-3261

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

9180 Pinecroft Dr
Ste 600
Shenandoah, TX 77380
Phone (281) 296-0365

17183 Interstate 45 S
Ste 110
Shenandoah, TX 77385
Phone (936) 270-3413

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

501 W Medical Center Blvd
Webster, TX 77598
Phone (281) 316-4926

Interoperability endpoints

  • Direct secure messaging: michelle.pulpan@txo.ikm.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982132825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17183 I 45 S STE 110",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853313",
            "telephone_number": "936-270-3480",
            "fax_number": "936-270-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17183 I 45 S STE 110",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853313",
            "telephone_number": "936-270-3480",
            "fax_number": "936-270-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULPAN",
        "first_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP133697",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378138701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378138702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.