Pauline N Ireagbu George, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1086536 Issued in TX

Practice address

117 Melbourne Rd
Hurst, TX 76053-6318

Phone

(682) 202-0591

Fax

(682) 334-7615

NPI assigned

Mar 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kryskay Psychiatry PLLCGroup PAC ID 8527439405, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.paulineireagbugeorge@136732.advancedmd-direct.com

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.

• Kryskay Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hurst, TX
  • NPI 1508570706

  Psychiatric/Mental Health, TX

  Medicare reassignment Care Compare group NPD Authorized official
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  TX

  Medicare reassignment NPD
• Ziks Health Services

  • Adult Mental Health Clinic/Center
  • Dallas, TX
  • NPI 1427521426

  TX

  Medicare reassignment
• Progressive Behavioral Health, PLLC

  • Mental Health Counselor
  • Friendswood, TX
  • NPI 1659567238

  Psychiatric/Mental Health

  NPD
• Aoc TX, LLC

  • Home Health Agency
  • Sherman, TX
  • NPI 1952346876
  NPD (past)
• Aoc FL, LLC

  • Home Health Agency
  • Spring Hill, FL
  • NPI 1538704671
  NPD (past)

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1760017065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MELBOURNE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760536318",
            "telephone_number": "682-202-0591",
            "fax_number": "682-334-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MELBOURNE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760536318",
            "telephone_number": "682-202-0591",
            "fax_number": "682-334-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IREAGBU GEORGE",
        "first_name": "PAULINE",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "909820",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1086536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hys Regen PLLC
• Impel Management Services, LLC
• In Home Health LLC
• In Home Health LLC
• P Raju Indukuri, M.D.
• Kelly Michelle Isbell, D.O.
• Ispinerenew PLLC
• Abdul-Rahman Youssef Itani, D.O.
• J. Michael Merrill, D.O., P.a.
• Daniel Wayne Jackson Jr., PHD

• All providers in Hurst, TX
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.