Individual provider Active NPI

Oluchukwu Anne Ifele, APRN-CNP

  • Medical-Surgical Registered Nurse
  • Mansfield, TX
National Provider Identifier
1700456951
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
R053081 Issued in SD
Practice address
1023 Muirfield Dr
Mansfield, TX 76063-6634
Phone
(605) 545-6000
NPI assigned
Jun 29, 2021
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1167873 TX
Registered Nurse 163W00000X 940401 TX
Medical-Surgical Registered Nurse 163WM0705X R053081 SD Primary

Addresses

Primary practice location

1023 Muirfield Dr
Mansfield, TX 76063-6634

Mailing address

4909 Homestead St Apt 106
Rapid City, SD 57703-0209
Phone (605) 545-6000

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
I20250404002287 TX Practitioner - Nurse Practitioner 2466976014 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
940401TXMDRegistered Nurse
R053081SDMDMedical-Surgical Registered Nurse
1167873TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Virtual Care CurrentSince May 1, 2025 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince May 1, 2025 Accepting new patients
Texas Health Physicians Group CurrentSince May 1, 2025 Accepting new patients
Texas Health Virtual Care Registered Nurse CurrentSince May 1, 2025 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

8200 Walnut Hill Ln
Fl 9
Dallas, TX 75231
Phone (214) 345-8001

1300 W Terrell Ave
Ste K230
Fort Worth, TX 76104
Phone (817) 250-1815

Interoperability endpoints

  • Direct secure messaging: oifele2398992@direct.texashealth.org

Organizations & group practices 5

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1700456951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 HOMESTEAD ST APT 106",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577030209",
            "telephone_number": "605-545-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 MUIRFIELD DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636634",
            "telephone_number": "605-545-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFELE",
        "first_name": "OLUCHUKWU",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1167873",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "940401",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "SD",
            "license": "R053081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.