Individual provider Active NPI

Debra Ejiro Maduekwe, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1811794084
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1070924 Issued in TX
Practice address
3634 Glenn Lakes LN Ste 198
Missouri City, TX 77459-4062
Phone
(281) 710-5232
NPI assigned
Feb 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1070924 TX Primary

Addresses

Primary practice location

3634 Glenn Lakes LN Ste 198
Missouri City, TX 77459-4062

Mailing address

3634 Glenn Lakes LN Ste 198
Missouri City, TX 77459-4062

Other names 1

  • Debra Ejiro Achoja Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 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
I20250528001256 TX Practitioner - Nurse Practitioner 2466971999 Reassigns benefits to 1 organization
I20260203001121 LA Practitioner - Nurse Practitioner 2466971999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3201 General Degaulle Dr
New Orleans, LA 70114-6700

3634 Glenn Lakes LN
Suite 198
Missouri City, TX 77459-3695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Better Health LLC CurrentSince Nov 9, 2025 Accepting new patients
Ama'Ari Wellness Clinic LLC CurrentSince Apr 1, 2025 Accepting new patients
Alpha Health Services CurrentSince Jan 8, 2026 Accepting new patients

Locations

3201 General Degaulle Dr
New Orleans, LA 70114
Phone (504) 354-2103

3634 Glenn Lakes Ln
Ste 198
Missouri City, TX 77459
Phone (281) 710-5232

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1811794084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 GLENN LAKES LN STE 198",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 GLENN LAKES LN STE 198",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594062",
            "telephone_number": "281-710-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUEKWE",
        "first_name": "DEBRA",
        "middle_name": "EJIRO",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1070924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "ACHOJA",
            "middle_name": "EJIRO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.