Individual provider Active NPI

Rachel Ogechukwuka Nwaokolo, PA

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1730430232
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07894 Issued in TX
Practice address
15900 La Cantera Pkwy
20265
San Antonio, TX 78256-2422
Phone
(210) 314-4740
NPI assigned
Sep 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07894 TX Primary

Addresses

Primary practice location

15900 La Cantera Pkwy
20265
San Antonio, TX 78256-2422

Mailing address

2205 Edinburgh Way
Garland, TX 75040-1139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130116000402 TX Practitioner - Physician Assistant 9133372469 Reassigns benefits to 1 organization
I20150929001887 GA Practitioner - Physician Assistant 9133372469 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
64.75 of 100Reported as group
Quality
55.37
Improvement activities
40
Cost
47.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA07894TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC CurrentSince Jan 9, 2023 Accepting new patients
Interventional Health CurrentSince Oct 1, 2025 Accepting new patients
Questcare Medical Services, PLLC Physician Assistant CurrentSince Oct 8, 2014 Accepting new patients
Questcare Medical Services, PLLC Physician Assistant CurrentSince Oct 8, 2014 Accepting new patients
Lavender Inpatient Services LLC Past Accepting new patients
Mount Lassen Emergency Physicians LLC Past Accepting new patients
Emergency Medical Associates of Tampa Bay, LLC Past Accepting new patients
Maroon Bells Emergency Physicians LLC Past Accepting new patients

Locations

1 W Court Sq
Ste 750
Decatur, GA 30030
Phone (404) 494-7888

2130 Lavista Exec Park Dr
Unit 1
Tucker, GA 30084
Phone (770) 282-1619

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Interoperability endpoints

  • Direct secure messaging: rachel.nwaokolo@166622370791428.direct.elationemr.com

Organizations & group practices 9

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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1730430232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 EDINBURGH WAY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750401139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY",
            "address_2": "20265",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562422",
            "telephone_number": "210-314-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAOKOLO",
        "first_name": "RACHEL",
        "middle_name": "OGECHUKWUKA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.