NPIMap

Individual provider Active NPI

Chinyere C Ejikeme

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1235694985
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137981 Issued in TX
Practice address
1902 N Jupiter Rd # 100
Garland, TX 75042-4744
Phone
(972) 525-9900
Fax
(469) 333-7988
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP137981 TX Primary

Addresses

Primary practice location

1902 N Jupiter Rd # 100
Garland, TX 75042-4744

Mailing address

PO Box 360541
Pittsburgh, PA 15251-6541
Phone (972) 525-9900

Other practice location 1

925 Fleming St
Wylie, TX 75098-8604
Phone (214) 728-9995

Other practice location 2

2350 W Whitendale Ave
Visalia, CA 93277-6136
Phone (559) 625-5286

Other practice location 3

925 Fleming St
Wylie, TX 75098-8604
Phone (214) 728-9995

Other names 1

  • Chinyere C Ejikeme Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chinyere.ejikeme.1@13711.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5200 Harry Hines Blvd
Dallas, TX 75235-7709

Hospital & facility affiliations

  • Parkland Health & Hospital System Hospital, Dallas, TX, CCN 450015

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137981TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Family CurrentSince Dec 20, 2023 Accepting new patients
Dallas County Hospital District Family Current Accepting new patients
Dallas County Hospital District Family CurrentSince Dec 20, 2023 Accepting new patients
Regenerative Spine, Pain, and Neuropathy Centers, Inc. PastSince Jun 22, 2021 Accepting new patients
Lags Spine and Sportscare Medical Centers, Inc. Past Accepting new patients

Locations

5184 Tex Oak Ave
Dallas, TX 75235
Phone (214) 590-6120

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Interoperability endpoints

  • Direct secure messaging: cejikeme29018@direct.phhs.org
  • Direct secure messaging: chinyere.ejikeme.1@13711.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1235694985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360541",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152516541",
            "telephone_number": "972-525-9900",
            "fax_number": "469-333-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 N JUPITER RD # 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750424744",
            "telephone_number": "972-525-9900",
            "fax_number": "469-333-7988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Fleming St",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750988604",
            "country_code": "US",
            "telephone_number": "214-728-9995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 W Whitendale Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932776136",
            "country_code": "US",
            "telephone_number": "559-625-5286",
            "fax_number": "559-625-5297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Fleming St",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750988604",
            "country_code": "US",
            "telephone_number": "214-728-9995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EJIKEME",
        "first_name": "CHINYERE",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2023-01-26",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chinyere.ejikeme.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "1902 N Jupiter Rd # 100",
            "city": "Garland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750424744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHINYERE",
            "last_name": "EJIKEME",
            "middle_name": "C",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.