Mwandu Chisanga, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1149811 Issued in TX

Practice address

5006 Bayonne Dr
Rowlett, TX 75088-1852

Phone

(214) 228-3219

NPI assigned

Jan 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Tam Capital Ventures

  • Pain Medicine (Anesthesiology) Physician
  • Mesquite, TX
  • NPI 1134998073
  Medicare reassignment

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1700647906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 BAYONNE DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750881852",
            "telephone_number": "214-228-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 BAYONNE DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750881852",
            "telephone_number": "214-228-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISANGA",
        "first_name": "MWANDU",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1149811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon Curtis Chen, MD
• Ashley Pamela Cherucheril
• Chesther Home Health Services Inc
• Jennifer Chidi
• Maya L Chillar, D.D.S
• Jeanettte Haynes Chivvis
• Cassandra Tanya CHNG
• Wan Seong Choi, PHARM.D
• Nateisha Choice, MPSYCH, RBT
• Felicia Yvette Choyce, REGISTERED NURSE

• Psychiatric/Mental Health Nurse Practitioner in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.