Jennifer Onyinye Nwanya
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Midland, TX
NPI 1609758374 · NPPES record last updated Jul 23, 2025
Key facts
- NPI
- 1609758374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1071675 (TX)
- Practice address
- 1200 Albert Apt E104
Midland, TX 79701-8255 - Phone
- (254) 661-3510
- Fax
- (254) 661-3510
- NPI assigned
- Jul 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Supportive Care of Texas PC
Practice addresses (Care Compare)
825 W Kearney St
Mesquite, TX 75149-3206
Phone (866) 708-1240
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260305000130 | TX | Practitioner - Nurse Practitioner | 7618459041 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1071675 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care of Texas PC | Current |
Accepting new patients |
Locations
825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1071675 | TX | Yes |
Addresses
Primary practice location
1200 Albert Apt E104
Midland, TX 79701-8255
Mailing address
1200 Albert Apt E104
Midland, TX 79701-8255
Phone (254) 661-3510
Other providers in Midland, TX
- Nourish 4 Wellness
- NSMD Medical PLLC
- Liza Nunez
- Nurses Unlimited Inc
- Nicole Marie Nutter
- Chidera Best Nzedinma
- Margaret O'Neal
- Occupational Health Centers of the Southwest P.a.
- Tammy Marie Ochoa-Billings
- Cecilia Ochoa
All providers in Midland, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.