Nneka Crystal Papillion, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

S3271 Issued in TX

Practice address

614 Eaker St
Eden, TX 76837-7683

Phone

(325) 869-5911

Fax

(325) 869-5218

NPI assigned

Apr 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Nneka Crystal Onwumere Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/conc-1a231bb4

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Concho County Hospital District

  • Rural Health Clinic/Center
  • Eden, TX
  • NPI 1851885016

  Corporate Director, Operational/Managerial Control

  CMS ownership

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.

• Concho County Hospital District

  • Family Medicine Physician
  • Eden, TX
  • NPI 1134166226

  Family Medicine, TX

  Medicare reassignment NPD
• Concho County Hospital District

  • Rural Acute Care Hospital
  • Eden, TX
  • NPI 1326025701
  NPD
• Concho County Hospital District

  • Rural Health Clinic/Center
  • Eden, TX
  • NPI 1851885016
  NPD
• Hamilton County Hospital District

  • Skilled Nursing Facility
  • Mansfield, TX
  • NPI 1528655636
  NPD (past)

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712966400000",
    "number": "1194189696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 COUNTRY CIR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751812137",
            "telephone_number": "214-621-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 EAKER ST",
            "city": "EDEN",
            "state": "TX",
            "postal_code": "768377683",
            "telephone_number": "325-869-5911",
            "fax_number": "325-869-5218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760631806",
            "country_code": "US",
            "telephone_number": "844-941-3087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2416 NW 18th St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761066604",
            "country_code": "US",
            "telephone_number": "844-941-3087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPILLION",
        "first_name": "NNEKA",
        "middle_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S3271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NNEKA",
            "last_name": "ONWUMERE",
            "middle_name": "CRYSTAL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Raul Mendez Guevara
• Anne Catherine Hofer, M.D.
• Ryleigh Annette Hyles
• Dalyn J Johnson, DDS
• Jenny Marie Londerholm, PT, DPT
• Provider Healthcare Services of Concho LP
• Randall L. Sloan, D.O., PLLC
• Kelli J Short, FNP
• Girly Orlando Tubayan, PTA
• Val Verde County Hospital District

• All providers in Eden, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.