Ginikanwa Agu, NP
Individual provider Active NPI Family Nurse Practitioner · Irving, TX
NPI 1396458287 · NPPES record last updated Apr 1, 2024
Key facts
- NPI
- 1396458287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 854628 (TX)
- Practice address
- 6121 N Hwy 161 Ste 300
Irving, TX 75038-2270 - Phone
- (469) 647-4705
- NPI assigned
- Jan 5, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Texas Southwestern Medical Center at Dallas
Practice addresses (Care Compare)
6121 N Hwy 161
Suite 200
Irving, TX 75038-2270
Phone (214) 648-4805
Hospital & facility affiliations
- Ut of Texas Southwestern University Hospital - William P. Clements Jr.
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 70.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.75
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in 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 |
|---|---|---|---|---|
| I20230724001777 | TX | Practitioner - Nurse Practitioner | 5698135515 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 854628 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Southwestern Medical Center at Dallas | Current |
Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current |
Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400
6121 N State Highway 161
Ste 300
Irving, TX 75038
Phone (214) 964-0670
6121 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 964-0600
3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 854628 | TX | Yes |
| Family Nurse Practitioner | 363LF0000X | 1085714 | TX |
Addresses
Primary practice location
6121 N Hwy 161 Ste 300
Irving, TX 75038-2270
Mailing address
PO Box 845347
Dallas, TX 75284-7208
Other providers in Irving, TX
- Delasi Agbotui
- Aggarwal-Jones Community Clinics
- Nimisha Aggarwal
- Agilitas USA, Inc
- Aginglove Care LLC
- Stephanie Estrella Aguilar
- Rhiannon Aguirre
- Chinaka Agwu
- Javeria Ahmad
- Yasmina Rivera Ahmad
All providers in Irving, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2024. 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.