Individual provider Active NPI

Chike Emejuaiwe

  • Nurse Practitioner
  • Waco, TX
National Provider Identifier
1760271084
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1063867 Issued in TX
Practice address
5931 Crosslake Pkwy
Waco, TX 76712-6986
Phone
(254) 279-6199
NPI assigned
May 2, 2025
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1063867 TX Primary

Addresses

Primary practice location

5931 Crosslake Pkwy
Waco, TX 76712-6986

Mailing address

201 Ritchie Rd Apt 1302
Hewitt, TX 76643-2938

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
I20250730000292 TX Practitioner - Nurse Practitioner 4587171939 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Psych Care PLLC Psychiatry CurrentSince May 15, 2025 Accepting new patients
Neurotherapy PLLC CurrentSince Jul 13, 2025 Accepting new patients

Locations

2700 Cullen Blvd
Unit 84407
Pearland, TX 77584

5931 Crosslake Pkwy
Waco, TX 76712
Phone (254) 279-6199

Organizations & group practices 2

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": "1746144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1760271084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RITCHIE RD APT 1302",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766432938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 CROSSLAKE PKWY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126986",
            "telephone_number": "254-279-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMEJUAIWE",
        "first_name": "CHIKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1063867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.