Individual provider Active NPI

Chinwe G Nwakile, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1508680513
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1081135 Issued in TX
Practice address
3250 Fannin St
Beaumont, TX 77701-3903
Phone
(409) 212-7409
NPI assigned
Nov 14, 2024
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1081135 TX Primary

Addresses

Primary practice location

3250 Fannin St
Beaumont, TX 77701-3903

Mailing address

3560 Valmont Ave
Beaumont, TX 77706-6730
Phone (215) 687-7555

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
I20241216003965 TX Practitioner - Nurse Practitioner 9133656028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

Practice addresses (Care Compare)

3250 Fannin St
Beaumont, TX 77701-3903
Phone (409) 212-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1081135TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Network CurrentSince Dec 1, 2024 Accepting new patients
Broussard Family Practice, PLLC Past Accepting new patients

Locations

3070 College St
Ste 120
Beaumont, TX 77701
Phone (409) 835-2300

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

3250 Fannin St
Beaumont, TX 77701
Phone (409) 212-7000

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

810 Hospital Dr
Ste 100
Beaumont, TX 77701
Phone (409) 212-5933

610 Strickland Dr
Ste 100
Orange, TX 77630
Phone (409) 886-7245

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1508680513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 VALMONT AVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066730",
            "telephone_number": "215-687-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013903",
            "telephone_number": "409-212-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAKILE",
        "first_name": "CHINWE",
        "middle_name": "G",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1081135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.