Active NPI
Nkeiru P Anyanwu, NP
- Gerontology Nurse Practitioner
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN141396
- Practice address
- 6363 N State Highway 161 Ste 100
Irving, TX 75038-2239 - Phone
- (469) 200-3272
- NPI assigned
- Jun 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 833979 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN141396 | TX | Primary |
Addresses
Primary practice location
6363 N State Highway 161 Ste 100
Irving, TX 75038-2239
Mailing address
6706 Lake Jackson Dr
Arlington, TX 76002-4048
Phone (817) 501-3654
Other practice location 1
6706 Lake Jackson Dr
Arlington, TX 76002-4048
Phone (817) 501-3654
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200224000079 | TX | Practitioner - Nurse Practitioner | 7113354622 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Olusegun Oseni PA
Practice addresses (Care Compare)
1200 Clear Lake Rd
Weatherford, TX 76086-5802
Phone (817) 594-9993
Hospital & facility affiliations
- Medical City Weatherford
- Texas Health Harris Methodist Fort Worth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 833979 | TX | MD | General Practice Registered Nurse |
| APRN141396 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olusegun Oseni PA | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients |
Locations
2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563
6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
1200 Clear Lake Rd
Weatherford, TX 76086
Phone (817) 594-9993
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEJACA/Endpoint/CEJACA
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
TX
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
Hospital
-
- General Acute Care Hospital
- Weatherford, TX
- NPI 1417471467
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1154701746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6706 LAKE JACKSON DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760024048",
"telephone_number": "817-501-3654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6363 N STATE HIGHWAY 161 STE 100",
"city": "IRVING",
"state": "TX",
"postal_code": "750382239",
"telephone_number": "469-200-3272"
}
],
"practiceLocations": [
{
"address_1": "6706 Lake Jackson Dr",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760024048",
"country_code": "US",
"telephone_number": "817-501-3654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANYANWU",
"first_name": "NKEIRU",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-09",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "TX",
"license": "833979",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "APRN141396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.