Individual provider Active NPI

Jennifer Onyinye Nwanya

  • Psychiatric/Mental Health Nurse Practitioner
  • Midland, TX
National Provider Identifier
1609758374
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1071675 Issued in TX
Practice address
1200 Albert Apt E104
Midland, TX 79701-8255
Phone
(254) 661-3510
Fax
(254) 661-3510
NPI assigned
Jul 23, 2025
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 1071675 TX Primary

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

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
I20260305000130 TX Practitioner - Nurse Practitioner 7618459041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 1658744503, 28 clinicians

Practice addresses (Care Compare)

825 W Kearney St
Mesquite, TX 75149-3206
Phone (866) 708-1240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1071675TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of Texas PC CurrentSince Feb 1, 2026 Accepting new patients

Locations

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1609758374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ALBERT APT E104",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797018255",
            "telephone_number": "254-661-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ALBERT APT E104",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797018255",
            "telephone_number": "254-661-3510",
            "fax_number": "254-661-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANYA",
        "first_name": "JENNIFER",
        "middle_name": "ONYINYE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1071675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.