Individual provider Active NPI

Jideofor Uzoma Ogbonna, NP

  • Family Nurse Practitioner
  • Waxahachie, TX
National Provider Identifier
1740848431
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03190027 Issued in TX
Practice address
1102 Solon Place Way Ste a
Waxahachie, TX 75165-5038
Phone
(972) 351-9993
NPI assigned
May 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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 F03190027 TX Primary

Addresses

Primary practice location

1102 Solon Place Way Ste a
Waxahachie, TX 75165-5038

Mailing address

2513 Edgefield TRL
Mansfield, TX 76063-3738
Phone (469) 658-9352

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crogan@advantagehcs.com Direct

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
I20221216000100 TX Practitioner - Nurse Practitioner 3173944204 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F03190027TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextgen Post Acute Services PC CurrentSince Jan 1, 2026 Accepting new patients
Texas Health Urgent Care Family CurrentSince Dec 6, 2022 Accepting new patients
Nextgen Post Acute Services PC CurrentSince Jan 1, 2026 Accepting new patients
Texas Health Urgent Care CurrentSince Dec 6, 2022 Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Infinite Medical PC CurrentSince Mar 17, 2024 Accepting new patients
Optimized Health and Wellness Family Current Accepting new patients
Cardio & Renal Therapeutics of North Texas PLLC CurrentSince Feb 18, 2024 Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Advantage Medical Clinic Past Accepting new patients
A Medical Advantage Healthcare Systems Associated Past Accepting new patients
Reliantmd Telehealth Group PLLC Past Accepting new patients

Locations

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

250 Skillman St
Ste 202
Brooklyn, NY 11205

275 SE John Jones Dr
Burleson, TX 76028
Phone (817) 730-4603

2428 Bahama Dr
Dallas, TX 75211
Phone (214) 948-3811

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

6411 E Northwest Hwy
Ste 120
Dallas, TX 75231
Phone (469) 495-9110

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149

5830 Collin McKinney Pkwy
Ste 302
McKinney, TX 75070
Phone (212) 272-2774

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

Organizations & group practices 12

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": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1740848431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 EDGEFIELD TRL",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633738",
            "telephone_number": "469-658-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 SOLON PLACE WAY STE A",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655038",
            "telephone_number": "972-351-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBONNA",
        "first_name": "JIDEOFOR",
        "middle_name": "UZOMA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F03190027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crogan@advantagehcs.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dallas",
            "address_1": "1102 Solon Place Way Ste A",
            "city": "Waxahachie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751655038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.