Individual provider Active NPI

Fukamanji Sikazwe, APRN, FNP-C

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1821679051
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1033659 Issued in TX
Practice address
5813 W Wadley Ave
Midland, TX 79707-5055
Phone
(432) 570-0052
Fax
(432) 570-0053
NPI assigned
Apr 19, 2021
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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 1033659 TX Primary

Addresses

Primary practice location

5813 W Wadley Ave
Midland, TX 79707-5055

Mailing address

5823 Rio Grande Ave
Midland, TX 79707-3196
Phone (432) 212-7148

Other identifiers 1

IdentifierTypeStateIssuer
1033659OtherTXLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL athenahealth.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 2, 2024 through Aug 2, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wes Tex Urgent Care PLLC Past Accepting new patients

Organizations & group practices 1

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1821679051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 RIO GRANDE AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073196",
            "telephone_number": "432-212-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5813 W WADLEY AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075055",
            "telephone_number": "432-570-0052",
            "fax_number": "432-570-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKAZWE",
        "first_name": "FUKAMANJI",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1033659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1033659",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "athenahealth.net",
            "affiliation": "N",
            "address_1": "5813 W Wadley Ave",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797075055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.