Individual provider Active NPI

Mildred Onime, ANP

  • Gerontology Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1609282391
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP125351 Issued in TX
Practice address
4400 W University Blvd
Apt: 10306
Dallas, TX 75209-3876
Phone
(817) 729-5793
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP125351 TX Primary
Gerontology Clinical Nurse Specialist 364SG0600X 767459 TX

Addresses

Primary practice location

4400 W University Blvd
Apt: 10306
Dallas, TX 75209-3876

Mailing address

4400 W University Blvd
Apt: 10306
Dallas, TX 75209-3876
Phone (817) 729-5793

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
I20150218000227 TX Practitioner - Nurse Practitioner 2961727854 Reassigns benefits to 2 organizations

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
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

9750 Hillwood Pkwy
Fort Worth, TX 76177-1507
Phone (817) 697-5620

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Sep 30, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Feb 23, 2018 Accepting new patients
Texas Oncology PA CurrentSince Sep 30, 2024 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Feb 23, 2018 Accepting new patients
Americare Medical Group, Inc. Past Accepting new patients
Cwida, Inc Gerontology Past Accepting new patients

Locations

1609 Hospital Pkwy
Bedford, TX 76022
Phone (817) 359-9000

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

6500 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 263-2600

9750 Hillwood Pkwy
Ft Worth, TX 76177
Phone (817) 697-5620

1631 Lancaster Dr
Ste 150
Grapevine, TX 76051
Phone (817) 251-9080

2790 Lake Vista Dr
Lewisville, TX 75067
Phone (972) 221-0147

Interoperability endpoints

  • Direct secure messaging: mildred.onime@txo.ikm.direct-ci.com
  • Direct secure messaging: monime70749@direct.phhs.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1609282391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W UNIVERSITY BLVD",
            "address_2": "APT: 10306",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093876",
            "telephone_number": "817-729-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W UNIVERSITY BLVD",
            "address_2": "APT: 10306",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093876",
            "telephone_number": "817-729-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONIME",
        "first_name": "MILDRED",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP125351",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TX",
            "license": "767459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.