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MYLISA MUELLER
NPI 1174974240
Nurse Practitioner - Family in Mansfield, TX

Active since June 29, 2016PECOS EnrolledAccepts Medicare Assignment
1021 MATLOCK RD, MANSFIELD, TX 76063(817) 225-6888 Get Directions Write a Review

NPPES record last updated: April 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2018, Mar 17, 2018, Jul 25, 2017 and 1 more (4 updates tracked since 2016).

About Mylisa Mueller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYLISA MUELLER (NPI 1174974240) is an individual family provider in Mansfield, Texas, licensed in Texas (AP131297) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174974240
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMYLISA MUELLER
Location Address1021 MATLOCK RDMansfield, TX 76063-3443
Mailing Address3921 W Green Oaks Blvd, DArlington, TX 76016-2764 · (817) 496-1919
Phone(817) 225-6888
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 29, 2016
Last NPPES UpdateApril 29, 20184 updates tracked since enumeration
✔ NPI 1174974240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP131297
1021 MATLOCK RD, Mansfield, TX 76063
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13921 W Green Oaks Blvd, DArlington, TX 76016-2764 · Phone (817) 496-1919
Location 21811 Highway 287 N Ste 150Mansfield, TX 76063-7595 · Phone (817) 473-3979

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mylisa Mueller is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567745789
PECOS Enrollment IDI20170214002545
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNALIESE D'ARCY GLOVER NP-C
Nurse Practitioner (Family)
1021 MATLOCK RD
MANSFIELD, TX 76063
Tarrant County (817) 225-4591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mylisa Mueller's NPI number?

The NPI number for Mylisa Mueller is 1174974240. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Mylisa Mueller located?

Mylisa Mueller practices at 1021 Matlock Rd, Mansfield, TX 76063. The listed phone number is (817) 225-6888.

What is Mylisa Mueller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mylisa Mueller enrolled in Medicare?

Yes. Mylisa Mueller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mylisa Mueller accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Mylisa Mueller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mylisa Mueller was last updated on April 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.