Roselyn Omungo, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1155605 Issued in TX

Practice address

12881 N Ih 35
Live Oak, TX 78233-2966

Phone

(210) 742-6555

NPI assigned

Mar 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hillside Primary Care PLLCGroup PAC ID 0648530386, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152
• Seton Medical Center Harker Heights Hospital, Harker Heights, TX, CCN 670080

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Hillside Primary Care PLLC

  • Internal Medicine Physician
  • Live Oak, TX
  • NPI 1205349040
  Medicare reassignment Care Compare group NPD
• Heal Well Primary Care PC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1003518473
  NPD
• Complete Care Partners LLC

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1114437563
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Killeen Health System LLC

  • General Acute Care Hospital
  • Harker Heights, TX
  • NPI 1841562709
  Care Compare affiliation
• Metroplex Adventist Hospital Inc

  • General Acute Care Hospital
  • Killeen, TX
  • NPI 1629089966
  Care Compare affiliation

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1467212282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12881 N IH 35",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332966",
            "telephone_number": "210-742-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12881 N IH 35",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332966",
            "telephone_number": "210-742-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMUNGO",
        "first_name": "ROSELYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1155605",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1155605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Brandon Odom
• Stacey Ohl, HIS
• Olawale Olabiyi, MD FACC
• Stephanie Gomez Olivie, LVN
• Olympia Hills Family Dental, PC
• Mariana Ontiveros, APRN
• Nydia Orlandi
• Benito Orona, RBT
• Ashly Orozco
• Kerry A Orsingher, D.M.D.

• Family Nurse Practitioner in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.