Individual provider Active NPI

Ifeanyi Ohiaeri, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1649892886
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1133304 Issued in TX
Practice address
8080 Creekbend Dr
Houston, TX 77071-1538
Phone
(713) 231-8428
NPI assigned
May 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 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 1133304 TX Primary

Addresses

Primary practice location

8080 Creekbend Dr
Houston, TX 77071-1538

Mailing address

12337 Jones Rd
Houston, TX 77070-4800
Phone (832) 519-8791

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
I20240917000813 TX Practitioner - Nurse Practitioner 4981145083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1010 Sussex TRL
Pearland, TX 77584-7752
Phone (346) 220-3534

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acira Enhanced Comfort Healthcare Inc CurrentSince Apr 9, 2024 Accepting new patients
Bliss Advanced Clinical Solutions, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Clearwave Behavioral Healthcare PLLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Organizations & group practices 3

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": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1649892886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12337 JONES RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704800",
            "telephone_number": "832-519-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 CREEKBEND DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770711538",
            "telephone_number": "713-231-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHIAERI",
        "first_name": "IFEANYI",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-11",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1133304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.