Individual provider Active NPI

Ebelechukwu Ekwenugo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1710535398
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP144089 Issued in TX
Practice address
616 Jagera Way
Arlington, TX 76002-4582
Phone
(682) 521-5224
NPI assigned
Aug 28, 2019
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10022581 OR
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP144089 TX Primary

Addresses

Primary practice location

616 Jagera Way
Arlington, TX 76002-4582

Mailing address

616 Jagera Way
Arlington, TX 76002-4582
Phone (682) 521-5224

Other practice location 1

1225 NE 2nd Ave
Portland, OR 97232-2003
Phone (503) 944-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, NM, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200212000506 TX Practitioner - Nurse Practitioner 3375979289 Reassigns benefits to 4 organizations
I20201103001128 OK Practitioner - Nurse Practitioner 3375979289 Reassigns benefits to 4 organizations
I20251024002139 NM Practitioner - Nurse Practitioner 3375979289 Reassigns benefits to 1 organization
I20251117002883 OR Practitioner - Nurse Practitioner 3375979289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oakwood Springs Physician Group LLCGroup PAC ID 1658658026, 16 clinicians
Forefront-Rush Medical Service PAGroup PAC ID 4486884285, 15 clinicians
El Paso Community MHMRGroup PAC ID 3476532383, 54 clinicians
Family Health Center of Southern Oklahoma IncGroup PAC ID 4284537457, shared by 4 NPIs, 34 clinicians

Practice addresses (Care Compare)

13101 Memorial Springs CT
Oklahoma City, OK 73114-2226
Phone (405) 438-3000

15205 Traditions Lake Pkwy
Edmond, OK 73013-1198
Phone (972) 449-0540

1601 E Yandell Dr
El Paso, TX 79902-5677
Phone (915) 887-3410

1717 Main St
Suite 5850
Dallas, TX 75201-7317
Phone (972) 440-9540

610 E 24TH St
Tishomingo, OK 73460-3245
Phone (580) 387-0509

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10022581ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sai Vittala PLLC CurrentSince Jul 29, 2020 Accepting new patients
El Paso Community MHMR CurrentSince Aug 5, 2022 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 3, 2025 Accepting new patients
Access Telecare, PLLC Nurse Practitioner CurrentSince Feb 19, 2025 Accepting new patients
El Paso Community MHMR CurrentSince Aug 5, 2022 Accepting new patients
Forefront Telecare Inc CurrentSince Oct 3, 2025 Accepting new patients
El Paso Community MHMR Current Accepting new patients
Oakwood Springs Physician Group LLC CurrentSince Mar 3, 2022 Accepting new patients
Optimum Primary Care PLLC CurrentSince Jun 1, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Idyll Behavioral Health Solutions CurrentSince Apr 14, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 3, 2025 Accepting new patients
Oakwood Springs, LLC PastSince Mar 3, 2022 Accepting new patients
Access Telecare California, P.C. Nurse Practitioner PastSince Sep 18, 2023 Accepting new patients
State of Oklahoma Past Accepting new patients

Locations

1012 Marquez Pl
Unit 106B
Santa Fe, NM 87505
Phone (214) 705-2301

1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611

13101 Memorial Springs Ct
Oklahoma City, OK 73114
Phone (405) 438-3000

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051

1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540

1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

2026 W University Dr
Denton, TX 76201
Phone (903) 783-0846

1551 Montana Ave
El Paso, TX 79902
Phone (915) 747-3510

201 E Main Dr
Ste 600
El Paso, TX 79901
Phone (915) 887-3419

8500 Boeing Dr
El Paso, TX 79925
Phone (915) 242-0555

1601 E Yandell Dr
El Paso, TX 79902
Phone (915) 599-4900

10737 Gateway Blvd W
Ste 350
El Paso, TX 79935

1477 Lomaland Dr
Ste E7
El Paso, TX 79935
Phone 9155996690 ext. 13054

10737 Gateway Blvd W
Ste 250
El Paso, TX 79935
Phone (915) 242-0555

2400 Trawood Dr
Ste 301
El Paso, TX 79936
Phone (915) 599-6735

725 S Mesa Hills Dr
Bldg 1
El Paso, TX 79912
Phone (915) 228-8128

8730 Boeing Dr
El Paso, TX 79925
Phone (915) 599-6600

1600 Montana Ave
El Paso, TX 79902
Phone (915) 877-3410

5560 Mesa Springs Dr
Ft Worth, TX 76123
Phone (817) 292-4600

2600 E Southlake Blvd
#120354
Southlake, TX 76092

Interoperability endpoints

  • Direct secure messaging: ebelechukwu.ekwenugo.1@24287.direct.athenahealth.com
  • Direct secure messaging: ebele.ekwenugo@fhcso.directbygreenway.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1710535398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 JAGERA WAY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024582",
            "telephone_number": "682-521-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 JAGERA WAY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024582",
            "telephone_number": "682-521-5224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 NE 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322003",
            "country_code": "US",
            "telephone_number": "503-944-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKWENUGO",
        "first_name": "EBELECHUKWU",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10022581",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.