Individual provider Active NPI

Ogechi Ann Ohia, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1063013605
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP143724 Issued in TX
Practice address
12361 W Bola Dr Ste 109
Surprise, AZ 85378-9021
Phone
(623) 227-1000
NPI assigned
Nov 2, 2020
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP143724 TX Primary
Nurse Practitioner 363L00000X AP143724 TX

Addresses

Primary practice location

12361 W Bola Dr Ste 109
Surprise, AZ 85378-9021

Mailing address

2626 Deerwood Heights LN
Manvel, TX 77578-2058
Phone (414) 659-3333

Other practice location 1

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-7264

Other practice location 2

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-1488

Other identifiers 1

IdentifierTypeStateIssuer
32195MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210922001651 TX Practitioner - Nurse Practitioner 6002213758 Reassigns benefits to 3 organizations
I20251208003342 TN Practitioner - Nurse Practitioner 6002213758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Inpatient Physicians LLCGroup PAC ID 1254241235, 123 clinicians
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians

Practice addresses (Care Compare)

1300 Wesley Dr
Memphis, TN 38116-6426
Phone (901) 516-5741

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of TX, PLLC CurrentSince Nov 16, 2024 Accepting new patients
North Texas Physician Services, PLLC Nurse Practitioner CurrentSince Apr 1, 2024 Accepting new patients
Methodist Inpatient Physicians LLC CurrentSince Nov 17, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 27, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 27, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: oohia1136809@ahs.direct-ci.com
  • Direct secure messaging: oohia335182@christushealth.direct-ci.net
  • Direct secure messaging: oohia379977@directhoustonmethodist.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1063013605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 DEERWOOD HEIGHTS LN",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775782058",
            "telephone_number": "414-659-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 109",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "623-227-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015580",
            "country_code": "US",
            "telephone_number": "903-315-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OHIA",
        "first_name": "OGECHI",
        "middle_name": "ANN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP143724",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP143724",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32195",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.