Individual provider Active NPI

Innocentia Ifunanya Onyemetu, FNP

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1790457075
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1057297 Issued in TX
Practice address
801 E Florida Ave
Midland, TX 79701-8212
Phone
(432) 685-0450
Fax
(432) 685-0459
NPI assigned
Oct 4, 2021
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1057297 TX Primary
Registered Nurse 163W00000X 868256 TX

Addresses

Primary practice location

801 E Florida Ave
Midland, TX 79701-8212

Mailing address

5600 Gallop CT
Midland, TX 79705-2233
Phone (432) 210-4790

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
I20220203002291 TX Practitioner - Nurse Practitioner 2769875327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

801 E Florida Ave
Midland, TX 79701-8212
Phone (432) 685-0450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
868256TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Community Healthcare Services CurrentSince Apr 5, 2022 Accepting new patients
Midland Community Healthcare Services CurrentSince Apr 5, 2022 Accepting new patients
Midland Community Healthcare Services Past Accepting new patients

Locations

2500 Delano Ave
Midland, TX 79701
Phone (432) 697-4747

4214 Andrews Hwy
Ste 310
Midland, TX 79703
Phone (432) 697-4747

801 E Florida Ave
Midland, TX 79701
Phone (432) 685-0450

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJEICD
  • Direct secure messaging: innocentia.onyemetu@midchs.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1790457075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 GALLOP CT",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797052233",
            "telephone_number": "432-210-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E FLORIDA AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797018212",
            "telephone_number": "432-685-0450",
            "fax_number": "432-685-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEMETU",
        "first_name": "INNOCENTIA",
        "middle_name": "IFUNANYA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1057297",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "868256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.