Individual provider Active NPI

Josephine Nwaege, APRN-CNP

  • Primary Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1407653462
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1191743 Issued in TX
Practice address
8067 W Virginia Dr
Dallas, TX 75237-3767
Phone
(972) 441-7572
NPI assigned
Feb 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1191743 TX Primary

Addresses

Primary practice location

8067 W Virginia Dr
Dallas, TX 75237-3767

Mailing address

8067 W Virginia Dr
Dallas, TX 75237-3767

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250422002222 TX Practitioner - Nurse Practitioner 9931624947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Interns PLLCGroup PAC ID 4880968353, 6 clinicians

Practice addresses (Care Compare)

8067 W Virginia Dr
Dallas, TX 75237-3767
Phone (972) 230-5601

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Interns PLLC CurrentSince Feb 26, 2025 Accepting new patients

Locations

2775 E Trinity Mills Rd
Carrollton, TX 75006
Phone (909) 479-9260

8067 W Virginia Dr
Dallas, TX 75237
Phone (972) 230-5601

9353 Elam Rd
Dallas, TX 75217
Phone (214) 391-1158

14660 State Highway 121
Ste 200
Frisco, TX 75035
Phone (469) 269-0272

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1407653462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8067 W VIRGINIA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8067 W VIRGINIA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373767",
            "telephone_number": "972-441-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAEGE",
        "first_name": "JOSEPHINE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1191743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.