Active NPI
Obinna Martin Nwankwo, CRNA
- Certified Registered Nurse Anesthetist
- Clovis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1011381
- Practice address
- 2664 Finchwood Ave
Clovis, CA 93611-8574 - Phone
- (713) 884-9579
- NPI assigned
- Jun 29, 2020
- Last updated
- Dec 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 872445 | TX | |
| Registered Nurse | 163W00000X | 95159598 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 62642 | NM | |
| Certified Registered Nurse Anesthetist | 367500000X | 1011381 | TX | Primary |
Addresses
Primary practice location
2664 Finchwood Ave
Clovis, CA 93611-8574
Mailing address
6316 Los Bancos Dr
El Paso, TX 79912-1857
Phone (713) 884-9579
Other practice location 1
6316 Los Bancos Dr
El Paso, TX 79912-1857
Phone (713) 884-9579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 N Oregon St
El Paso, TX 79902-3524
Phone (915) 595-9000
2000 Transmountain Rd
El Paso, TX 79911-3601
Phone (915) 577-8467
4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 556-7455
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.5 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95159598 | CA | MD | Registered Nurse |
| 872445 | TX | MD | Registered Nurse |
| 62642 | NM | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso Ams, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Las Cruces HB Medical Services LLC | Current | Accepting new patients | |
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800
1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000
2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893
1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- El Paso, TX
- NPI 1134740202
Nurse Anesthetist, Certified Registered
-
dba MountainView Regional Medical Center
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1598446171
-
dba Greater Houston Anesthesiology, P.A.
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Nurse Anesthetist, Certified Registered
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Las Palmas del Sol Healthcare
- General Acute Care Hospital
- El Paso, TX
- NPI 1770536120
-
dba Mountainview Regional Medical Center
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1194342857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6316 LOS BANCOS DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799121857",
"telephone_number": "713-884-9579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2664 FINCHWOOD AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936118574",
"telephone_number": "713-884-9579"
}
],
"practiceLocations": [
{
"address_1": "6316 Los Bancos Dr",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799121857",
"country_code": "US",
"telephone_number": "713-884-9579",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NWANKWO",
"first_name": "OBINNA",
"middle_name": "MARTIN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-29",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "872445",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95159598",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "62642",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1011381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
- North Star Counseling a Licensed Clinical Social Worker Corporation (North Star Counseling)
- Sophon Penni Nou-Chen
- Kiana Farah Nouri
- Nurse to Your Door - Concierge Nursing Inc.
- Nurture and Grow Doula Services LLC
- Paul Martin O'Bara, P.T.
- Terrence Patraic O'Collins, D.C.
- Patricia Florence O'Lague, M.S.
- Tierney O'Mara
- Stephanie-Ann Rosemary Obeso
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.