Individual provider Active NPI

Adaobi Moemenam, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1487044897
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP131032 Issued in TX
Practice address
855 Montgomery St
Fort Worth, TX 76107-2553
Phone
(817) 735-2000
Fax
(817) 735-7780
NPI assigned
Jan 24, 2015
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP131032 TX Primary
Family Nurse Practitioner 363LF0000X AP131032 TX
Family Nurse Practitioner 363LF0000X 293115 AZ
Family Nurse Practitioner 363LF0000X NP95000421 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 293115 AZ

Addresses

Primary practice location

855 Montgomery St
Fort Worth, TX 76107-2553

Mailing address

855 Montgomery St
Fort Worth, TX 76107-2553
Phone (817) 735-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160721002431 TX Practitioner - Nurse Practitioner 8123311586 Reassigns benefits to 3 organizations
I20240517000952 AZ Practitioner - Nurse Practitioner 8123311586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maricopa Christian Psychiatry Group LLCGroup PAC ID 5597025106, 4 clinicians

Practice addresses (Care Compare)

3130 N Arizona Ave
Suite 101
Chandler, AZ 85225-7162
Phone (480) 284-8344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
293115AZMDFamily Nurse Practitioner
NP95000421CAMDFamily Nurse Practitioner
AP131032TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Psychiatry PLLC Psychiatric/Mental Health Current Accepting new patients
Hospital Medicine Associates of TX PA Multi-Specialty CurrentSince Jul 1, 2016 Accepting new patients
Maricopa Christian Psychiatry Group, LLC Multi-Specialty CurrentSince Mar 4, 2024 Accepting new patients
University of North Texas Health Science Center at Fort Worth Multi-Specialty PastSince May 7, 2026 Accepting new patients
University of North Texas Health Science Center at Fort Worth Multi-Specialty PastSince May 7, 2026 Accepting new patients

Locations

3130 N Arizona Ave
Ste 101
Chandler, AZ 85225
Phone (480) 284-8344

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

Organizations & group practices 7

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": "1422057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1487044897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 MONTGOMERY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072553",
            "telephone_number": "817-735-2000",
            "fax_number": "817-735-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MONTGOMERY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072553",
            "telephone_number": "817-735-2000",
            "fax_number": "817-735-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEMENAM",
        "first_name": "ADAOBI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-24",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP131032",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131032",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "293115",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95000421",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "293115",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.