Active NPI
Maureen Ogwoka
- Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1316815772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1216099
- Practice address
- 4600 Heritage Trace Pkwy
Fort Worth, TX 76244-8900 - Phone
- (855) 700-8184
- Fax
- (224) 633-1935
- NPI assigned
- Oct 27, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1216099 | TX | Primary |
Addresses
Primary practice location
4600 Heritage Trace Pkwy
Fort Worth, TX 76244-8900
Mailing address
1172 Sunderland LN
Fort Worth, TX 76134-3731
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 |
|---|---|---|---|---|
| I20260410000148 | TX | Practitioner - Nurse Practitioner | 5597230292 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
110 Squires CT
Kernersville, NC 27284-9494
1172 Sunderland LN
Fort Worth, TX 76134-3731
1810 8TH Ave
Suite A101
Fort Worth, TX 76110-1352
2728 Cedar Springs Rd
Apt 1602
Dallas, TX 75201-1365
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1216099 | TX | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1316815772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1172 SUNDERLAND LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761343731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 HERITAGE TRACE PKWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762448900",
"telephone_number": "855-700-8184",
"fax_number": "224-633-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGWOKA",
"first_name": "MAUREEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-27",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1216099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.