Ngozi Bridget Agorua, NP-C
Individual provider Active NPI Family Nurse Practitioner · Broken Arrow, OK
NPI 1316515554 · NPPES record last updated Sep 7, 2023
Key facts
- NPI
- 1316515554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1073489 (TX)
- Practice address
- 904 S Aster Ave
Broken Arrow, OK 74012-8833 - Phone
- (405) 410-2586
- NPI assigned
- Jun 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kelsey-Seybold Medical Group, PLLC
Practice addresses (Care Compare)
2510 W Grand Pkwy N
Katy, TX 77449-2853
Phone (713) 442-4222
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220105002213 | OK | Practitioner - Nurse Practitioner | 0446641229 | Reassigns benefits to 1 organization |
| I20230920001271 | TX | Practitioner - Nurse Practitioner | 0446641229 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1073489 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsey-Seybold Medical Group, PLLC | Current |
Accepting new patients | |
| Omni Medical Group Inc | Current |
Accepting new patients |
Locations
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
1725 E 19th St
Ste 500
Tulsa, OK 74104
Phone (918) 403-7089
2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412
2510 W Grand Pkwy N
Katy, TX 77449
Phone (713) 442-4222
11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997
Interoperability endpoints
- nagorua66807@direct.kelsey-seybold.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1073489 | TX | Yes |
Addresses
Primary practice location
904 S Aster Ave
Broken Arrow, OK 74012-8833
Mailing address
11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000
Other practice location 1
2510 W Grand Pkwy N
Katy, TX 77449-2853
Phone (713) 442-4222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073489 | Other | TX | TEXAS NURSING BOARD |
| R0114832 | Other | OK | RN |
| U082527746 | Other | OK | DRIVERS LICENSE |
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- Affordable Dentures & Implants - Oklahoma, PLLC
- Maria Aguayo
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All providers in Broken Arrow, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.