PRESTIGE HEALTH RESOURCES
NPI 1790452506
Nurse Practitioner - Primary Care in Mansfield, TX

Active since August 28, 2021
2140 HIGHWAY 157 N, MANSFIELD, TX 76063(682) 400-4006(682) 400-4007 Get Directions Write a Review

NPPES record last updated: August 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Prestige Health Resources NPPES

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

PRESTIGE HEALTH RESOURCES (NPI 1790452506) is a healthcare organization registered as a primary care in Mansfield, Texas and active in the NPI registry since August 2021. The organization lists Anthony Addae, Owner, as its authorized official.

NPPES Registry Identity

NPI1790452506
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePRESTIGE HEALTH RESOURCES
Location Address2140 HIGHWAY 157 NMansfield, TX 76063-4847
Mailing Address2140 Highway 157 NMansfield, TX 76063-4847 · (682) 400-4006 · Fax (682) 400-4007
Fax(682) 400-4007
Organization SubpartNo
Authorized OfficialAnthony AddaeOwner · (682) 400-4006
Enumeration DateAugust 28, 2021
NPPES CertifiedAugust 28, 2021
✔ NPI 1790452506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
2140 HIGHWAY 157 N, Mansfield, TX 76063

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prestige Health Resources is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Prestige Health Resources, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1962964791
2140 HIGHWAY 157 N
Mansfield, TX 76063
(682) 400-4006
✔ PECOSSame address

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

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 Prestige Health Resources's NPI number?

The NPI number for Prestige Health Resources is 1790452506. It was assigned to this organization in the NPPES registry on August 28, 2021.

Where is Prestige Health Resources located?

Prestige Health Resources is located at 2140 Highway 157 N, Mansfield, TX 76063. The listed phone number is (682) 400-4006.

What is Prestige Health Resources's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Prestige Health Resources enrolled in Medicare?

Yes. Prestige Health Resources is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prestige Health Resources?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Prestige Health Resources. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prestige Health Resources was last updated on August 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.