Individual provider Active NPI

Cynthia Okeke

  • Physician Assistant
  • Prosper, TX
National Provider Identifier
1114634920
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1061 N Coleman St Ste 10
Prosper, TX 75078-2318
Phone
(469) 257-3500
Fax
(844) 209-9082
NPI assigned
Nov 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1061 N Coleman St Ste 10
Prosper, TX 75078-2318

Mailing address

1061 N Coleman St Ste 10
Prosper, TX 75078-2318
Phone (469) 257-3500

Other practice location 1

8000 Eldorado Pkwy Bldg C
McKinney, TX 75070-1655
Phone (469) 257-3500

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
I20240930000241 TX Practitioner - Physician Assistant 4688105893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendha Primary Care PLLCGroup PAC ID 9830565985, 3 clinicians

Practice addresses (Care Compare)

2363 Alcove Dr
Frisco, TX 75034-3906

5550 Warren Pkwy
Suite 120
Frisco, TX 75034-7329
Phone (469) 905-3780

National Provider Directory

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGAFDD/Endpoint/FGAFDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1114634920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 N COLEMAN ST STE 10",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782318",
            "telephone_number": "469-257-3500",
            "fax_number": "844-209-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 N COLEMAN ST STE 10",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782318",
            "telephone_number": "469-257-3500",
            "fax_number": "844-209-9082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 Eldorado Pkwy Bldg C",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750701655",
            "country_code": "US",
            "telephone_number": "469-257-3500",
            "fax_number": "469-678-7199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKEKE",
        "first_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.