Individual provider Active NPI

Victoria Onaiwy Abu, FNP-C

  • Family Nurse Practitioner
  • Nacogdoches, TX
National Provider Identifier
1710680871
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1112143 Issued in TX
Practice address
4616 NE Stallings Dr
Nacogdoches, TX 75965-1608
Phone
(936) 569-5600
NPI assigned
Mar 27, 2023
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1112143 TX Primary

Addresses

Primary practice location

4616 NE Stallings Dr
Nacogdoches, TX 75965-1608

Mailing address

112 Sparks Dr
Forest City, NC 28043-9021
Phone (704) 675-7279

Other practice location 1

422 W Riverside Dr Apt 430
Austin, TX 78704-0375
Phone (828) 351-6000

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
I20230411001654 TX Practitioner - Nurse Practitioner 8022483791 Reassigns benefits to 6 organizations
Practice locations: Groveton, TX; Lufkin, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icare Pro of Texas Aco Billing Professional AssociationGroup PAC ID 0143681940, 13 clinicians
Icarepro of Texas, PAGroup PAC ID 2365811767, 12 clinicians

Practice addresses (Care Compare)

4114 McKnight Rd
Suite C
Texarkana, TX 75503-1086
Phone (855) 498-6767

4140 McKnight Rd
Suite D
Texarkana, TX 75503-0921
Phone (855) 498-6767

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1112143TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Old Mission Wound Care Texas PLLC CurrentSince Jun 24, 2025 Accepting new patients
Icarepro of Texas, PA CurrentSince Mar 3, 2025 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jan 30, 2026 Accepting new patients
Wound Care Specialists CurrentSince Apr 15, 2026 Accepting new patients
Icare Pro of Texas Aco Billing Professional Association CurrentSince Mar 3, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Mar 28, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Mar 28, 2025 Accepting new patients

Locations

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

112 Sparks Dr
Forest City, NC 28043
Phone (704) 675-7279

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

5900 Balcones Dr
Ste 100
Austin, TX 78731

225 Matlage Way
Unit 31
Sugar Land, TX 77487

4114 McKnight Rd
Ste C
Texarkana, TX 75503
Phone (501) 492-0099

4140 McKnight Rd
Ste D
Texarkana, TX 75503

Organizations & group practices 7

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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1710680871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SPARKS DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439021",
            "telephone_number": "704-675-7279",
            "fax_number": "704-675-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651608",
            "telephone_number": "936-569-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "422 W Riverside Dr Apt 430",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787040375",
            "country_code": "US",
            "telephone_number": "828-351-6000",
            "fax_number": "828-287-7436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABU",
        "first_name": "VICTORIA",
        "middle_name": "ONAIWY",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1112143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.