MIRLENE E APPOLON
NPI 1376743153
Nurse Practitioner - Family in Houston, TX

Active since July 20, 2007PECOS Enrolled
69.49/100
CMS Quality Rating
7275 CARACARA DR, HOUSTON, TX 77040(857) 236-9704 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mirlene E Appolon NPPES

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

MIRLENE E APPOLON (NPI 1376743153) is an individual family provider in Houston, Texas, licensed in Texas (137637) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Randolph.

NPPES Registry Identity

NPI1376743153
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRLENE E APPOLON
Location Address7275 CARACARA DRHouston, TX 77040
Mailing Address7275 Caracara DrHouston, TX 77040-4440 · (857) 236-9704
Sole ProprietorYes
Enumeration DateJuly 20, 2007
Last NPPES UpdateJune 20, 2018
NPI 1376743153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 137637
Also ListedRegistered NurseTaxonomy 163W00000X · License 252947 (MA)
7275 CARACARA DR, Houston, TX 77040

Other Names 1

Former Name (1)Mirlene Exume Fnp

Secondary Practice Location 1

Location 19 Robert RdRandolph, MA 02368 · Phone (781) 963-3135

Other Identifiers 1

Other0713198MA · Provider Number

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mirlene E Appolon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
855 services564 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
257 services257 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
222 services42 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
108 services62 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
69 services67 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77040 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.

69.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.29
Improvement Activities40
Cost15.26

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 Mirlene Appolon's NPI number?

The NPI number for Mirlene Appolon is 1376743153. It was assigned to this individual provider in the NPPES registry on July 20, 2007. The provider is also known as Mirlene Exume Fnp.

Where is Mirlene Appolon located?

Mirlene Appolon practices at 7275 Caracara Dr, Houston, TX 77040. The listed phone number is (857) 236-9704.

What is Mirlene Appolon's specialty?

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

Is Mirlene Appolon enrolled in Medicare?

Yes. Mirlene Appolon is registered in the Medicare PECOS enrollment system.

What insurance does Mirlene Appolon accept?

Health plans from Blue Cross and Blue Shield of Texas list Mirlene Appolon 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 Mirlene Appolon was last updated on June 20, 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.