Individual provider Active NPI

Obioma Anyogu, APRN, FNP-BC

  • Primary Care Nurse Practitioner
  • Waxahachie, TX
National Provider Identifier
1104454602
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP145029 Issued in TX
Practice address
201 Ferris Ave Ste I
Waxahachie, TX 75165-3660
Phone
(972) 937-1613
Fax
(972) 937-0891
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X AP145029 TX Primary

Addresses

Primary practice location

201 Ferris Ave Ste I
Waxahachie, TX 75165-3660

Mailing address

1110 E Pleasant Run Rd
Desoto, TX 75115-4202
Phone (972) 230-8881

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
I20210921001401 TX Practitioner - Nurse Practitioner 1355748112 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
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

526 E Pleasant Run
Wellmed at Heath Creek
Desoto, TX 75115-4002
Phone (972) 223-4420

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

Hospital & facility affiliations

  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Single Specialty CurrentSince Jan 22, 2024 Accepting new patients
Ikechukwu Osuji, M.D PA Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jan 22, 2024 Accepting new patients

Locations

1140 W Main St
Ste 1140
Lewisville, TX 75067
Phone (972) 956-5558

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

201 Ferris Ave
Ste I
Waxahachie, TX 75165
Phone (972) 230-8881

Interoperability endpoints

  • Direct secure messaging: obioma.anyogu@wellmed.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1104454602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E PLEASANT RUN RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154202",
            "telephone_number": "972-230-8881",
            "fax_number": "972-230-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FERRIS AVE STE I",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653660",
            "telephone_number": "972-937-1613",
            "fax_number": "972-937-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYOGU",
        "first_name": "OBIOMA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-04-18",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP145029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.