Ifeoma Linda Mogbo, DNP, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP137556 Issued in TX

Practice address

2700 W Pecan St Ste 102
Pflugerville, TX 78660-3069

Phone

(512) 421-3750

Fax

(512) 421-3751

NPI assigned

Sep 11, 2018

Last updated

Oct 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Ifeoma Linda Agu Former name

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ifeoma.mogbo@wellmed.eclinicaldirectplus.com

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.

• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  Medicare reassignment Care Compare group NPD
• Procenture LLC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1508377599

  Nurse Practitioner

  NPD
• Wellmed Medical Group, P.a.

  dba WellMed Doctor's Hospital Senior Clinic

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1740588243
  NPD

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1548743958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W PECAN ST STE 102",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603069",
            "telephone_number": "512-421-3750",
            "fax_number": "512-421-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W PECAN ST STE 102",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603069",
            "telephone_number": "512-421-3750",
            "fax_number": "512-421-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGBO",
        "first_name": "IFEOMA",
        "middle_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP137556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IFEOMA",
            "last_name": "AGU",
            "middle_name": "LINDA",
            "prefix": "MS.",
            "credential": "DNP, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Venessia Rene Miller
• Sara Mireles, PT
• Saurabh Mistry
• Travis Mitchel, PTA
• Mlatx Transportation LLC
• Lillian Moncebaiz
• Stephanie Monis, LPC
• Astha Mor, M.D.
• Vanessa Morales
• Lauren Moreno

• Nurse Practitioner in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.