Individual provider Active NPI

Nneka Stephanie Okeke, M.D.

  • Family Medicine Physician
  • Mansfield, TX
National Provider Identifier
1366976839
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S9169 Issued in TX
Practice address
3807 E Broad St Ste 101
Mansfield, TX 76063-5623
Phone
(817) 717-9597
NPI assigned
Apr 12, 2017
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S9169 TX Primary

Addresses

Primary practice location

3807 E Broad St Ste 101
Mansfield, TX 76063-5623

Mailing address

9308 Desertrock Dr
Fort Worth, TX 76131-1881
Phone (832) 520-8680

Other practice location 1

400 SW 25th Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

Other practice location 2

1400 S Coulter St Ste 5100
Amarillo, TX 79106-1786
Phone (806) 414-9559

Other practice location 3

1256 N Holland Road
Mansfield, TX 76063-9001
Phone (817) 717-9597

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211013003541 TX Practitioner - Family Practice 3274803481 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S9169TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Livingspring Family Medical Center PLLC Family Medicine CurrentSince Jun 8, 2026 Accepting new patients
Concord Medical Group PLLC CurrentSince Aug 7, 2021 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Aug 7, 2021 Accepting new patients
Dallas County Mental Health & Mental Retardation Center PastSince Sep 9, 2022 Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

3807 E Broad St
Ste 101
Mansfield, TX 76063
Phone (682) 300-2300

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22586/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1366976839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 DESERTROCK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761311881",
            "telephone_number": "832-520-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 E BROAD ST STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635623",
            "telephone_number": "817-717-9597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 SW 25th Ave",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760678246",
            "country_code": "US",
            "telephone_number": "940-325-7891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Coulter St Ste 5100",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061786",
            "country_code": "US",
            "telephone_number": "806-414-9559",
            "fax_number": "806-351-3765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1256 N Holland Road",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760639001",
            "country_code": "US",
            "telephone_number": "817-717-9597",
            "fax_number": "833-992-1938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKEKE",
        "first_name": "NNEKA",
        "middle_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S9169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.