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SHEENA NAMPIMADOM FNP-C
NPI 1245789346
Nurse Practitioner - Family in Houston, TX

Active since September 29, 2016PECOS EnrolledAccepts Medicare Assignment
9504 LONG POINT RD, HOUSTON, TX 77055(713) 461-3535 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 11, 2024, Mar 17, 2018, Dec 21, 2017 and 1 more (4 updates tracked since 2016).

About Sheena Nampimadom Fnp-c NPPES

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

SHEENA NAMPIMADOM FNP-C (NPI 1245789346) is an individual family provider in Houston, Texas, licensed in Texas (AP131611) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245789346
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHEENA NAMPIMADOMCredential: FNP-C
Location Address9504 LONG POINT RDHouston, TX 77055-4226
Mailing Address4123 Turtle Trails LnSugar Land, TX 77479-2746 · (281) 741-5767
Phone(713) 461-3535
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 29, 2016
Last NPPES UpdateJune 11, 20244 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1245789346 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 · AP131611
9504 LONG POINT RD, Houston, TX 77055
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14123 Turtle Trails LnSugar Land, TX 77479-2746 · Phone (281) 741-5767
Location 24750 Fairmont PkwyPasadena, TX 77504-3330 · Phone (281) 998-0912

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sheena Nampimadom Fnp-c 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 ID2163703240
PECOS Enrollment IDI20170104000095
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Sheena Nampimadom reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Em-1 Medical Services
6.7 mi
Emergency Medicine
4200 PORTSMOUTH ST
Houston, TX 77027
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Em-I Medical Services PA
  • 61 clinicians in this Medicare group
NPI 1366480261 (713) 774-7611
Medexpress Urgent Care Texas, P.A.
9.6 mi
Urgent Care
16307 FM 529 ROAD
Houston, TX 77095
  • Reassigned Medicare billing, Texas enrollment
  • 47 clinicians in this Medicare group
NPI 1396251781 (281) 858-1409
Right Step Medical Center LLC
11 mi
Urgent Care
11925 SOUTHWEST FWY STE 12
Stafford, TX 77477
  • Reassigned Medicare billing, Texas enrollment
  • 23 clinicians in this Medicare group
NPI 1063008084 (281) 741-9145
Normandy Urgent Care Center PA
19 mi
General Practice
779 NORMANDY ST, SUITE-114
Houston, TX 77015
  • Reassigned Medicare billing, Texas enrollment
  • 40 clinicians in this Medicare group
NPI 1407171077 (713) 893-6214
Integrative Emergency Services Physician Group-Houston PLLC
24 mi
Emergency Medicine
4500 E SAM HOUSTON PKWY S
Pasadena, TX 77505
  • Reassigned Medicare billing, Texas enrollment
  • 644 clinicians in this Medicare group
NPI 1801458708 (713) 948-7000
Doctors Express Of The Beaumont Area PA
84 mi
Urgent Care
3195 DOWLEN RD STE 105
Beaumont, TX 77706
  • Reassigned Medicare billing, Texas enrollment
  • 351 clinicians in this Medicare group
NPI 1841525235 (409) 860-1888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services47 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
52 services25 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
38 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77055 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
99%1,591 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%214 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
17%1,421 patients1/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 232 patients
Patients totalRate: 1% · 232 patients
1%232 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

MRS. LATHA JOY
Nurse Practitioner
9504 LONG POINT RD
HOUSTON, TX 77055
Harris County (713) 461-3535

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 Sheena Nampimadom's NPI number?

The NPI number for Sheena Nampimadom is 1245789346. It was assigned to this individual provider in the NPPES registry on September 29, 2016.

Where is Sheena Nampimadom located?

Sheena Nampimadom practices at 9504 Long Point Rd, Houston, TX 77055. The listed phone number is (713) 461-3535.

What is Sheena Nampimadom's specialty?

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

Is Sheena Nampimadom enrolled in Medicare?

Yes. Sheena Nampimadom 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.

Which organizations bill Medicare for Sheena Nampimadom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheena Nampimadom reassigns Medicare benefits to 6 organizations: Texas Em-1 Medical Services (Houston, TX), Medexpress Urgent Care Texas, P.A. (Houston, TX), Right Step Medical Center LLC (Stafford, TX), Normandy Urgent Care Center PA (Houston, TX), Integrative Emergency Services Physician Group-Houston PLLC (Pasadena, TX) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheena Nampimadom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheena Nampimadom accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Sheena Nampimadom 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.

Is Sheena Nampimadom affiliated with any hospitals?

According to CMS data, Sheena Nampimadom is affiliated with University Of Texas Medical Branch Galveston.

When was this NPI record last updated?

The NPPES record for Sheena Nampimadom was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.