Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cody Ray Mandrell

Individual provider Nurse Practitioner · NPI 1912209073

Cody Ray Mandrell is a Nurse Practitioner in Lubbock, Texas. Qualified in 2010, 16 years ago. Practices with Umc Physicians, a 110-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2010
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3502 9th St Ste 430
Lubbock, TX 79415-3368
Phone: (806) 761-0535
Fax: (806) 761-0534
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP119696 (TX)

Record details

NPI number1912209073
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 23, 2010
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 28, 2022
Mailing address5219 City Bank Pkwy Ste 35, Lubbock, TX 79407-3545

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Umc Physicians — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lubbock