Jacinta Chinenye Madu, APRN-CNP PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1019465 Issued in TX

Practice address

2072 Royal Acres TRL
Frisco, TX 75036-8772

Phone

(972) 824-7874

NPI assigned

Nov 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, TX, DC3 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 3

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Gofan Healthcare Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frisco, TX
  • NPI 1942950688
  Medicare reassignment NPD Authorized official
• Gofan Healthcare Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oro Valley, AZ
  • NPI 1598415218
  Medicare reassignment NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, Psychiatric/Mental Health, TX

  Medicare reassignment NPD
• Gofan Healthcare Service LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverdale, MD
  • NPI 1346058328
  NPD Authorized official

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1497357578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 ROYAL ACRES TRL",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750368772",
            "telephone_number": "972-824-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 ROYAL ACRES TRL",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750368772",
            "telephone_number": "972-824-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADU",
        "first_name": "JACINTA",
        "middle_name": "CHINENYE",
        "credential": "APRN-CNP PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1019465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre John Mackenzie
• Jeff L Macy, D.C.
• Makenzi Elaine Maddox
• Crystal Madrigal
• Callie Anne Madsen
• Judith Ogechukwu Maduh, PMHNP
• Exalander Samuel Magallan III, MS, LAT, ATC
• Rhea Paige Magee, OD
• Magellan Provider Services, P.a.
• Maggie Tran OD PLLC

• Psychiatric/Mental Health Nurse Practitioner in Frisco, TX
• Providers in Frisco, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.