Individual provider Active NPI

Chineme Chima-Nlewem, PA-C

  • Physician Assistant
  • Odessa, TX
National Provider Identifier
1073124004
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16124 Issued in TX
Practice address
500 N Washington Ave Ste 400
Odessa, TX 79761-4437
Phone
(432) 640-3774
Fax
(432) 640-4774
NPI assigned
Aug 13, 2020
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA16124 TX Primary

Addresses

Primary practice location

500 N Washington Ave Ste 400
Odessa, TX 79761-4437

Mailing address

PO Box 2129
Odessa, TX 79760-2129
Phone (432) 640-3774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221101001987 TX Practitioner - Physician Assistant 9436526662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ector County Hospital DistrictGroup PAC ID 5496657769, 29 clinicians
MCH Professional CareGroup PAC ID 1658358635, 51 clinicians

Practice addresses (Care Compare)

3001 JBS Pkwy
Odessa, TX 79762-8126
Phone (432) 640-6700

3001 John Ben Shepperd Pkwy
Suite 100
Odessa, TX 79762-8126
Phone (432) 640-6772

315 Golder Ave
Suite B
Odessa, TX 79761-5060
Phone (432) 640-1878

500 W 4TH St
Odessa, TX 79761-5001

540 W 5TH St
Suite 300
Odessa, TX 79761-5035
Phone (432) 640-3007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.78 of 100Reported as group
Quality
60.9
Promoting interoperability
100
Improvement activities
40
Cost
66.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA16124TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ector County Hospital District CurrentSince Jan 1, 2023 Accepting new patients
Ector County Hospital District CurrentSince Jan 1, 2023 Accepting new patients

Locations

315 Golder Ave
Ste B
Odessa, TX 79761
Phone (432) 332-2695

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

Organizations & group practices 3

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 3

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1073124004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797602129",
            "telephone_number": "432-640-3774",
            "fax_number": "432-640-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WASHINGTON AVE STE 400",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614437",
            "telephone_number": "432-640-3774",
            "fax_number": "432-640-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMA-NLEWEM",
        "first_name": "CHINEME",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.