Individual provider Active NPI

Agbortambeng Enoweyere

  • Certified Registered Nurse Anesthetist
  • Ada, OK
National Provider Identifier
1831963834
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
215732 Issued in OK
Practice address
430 N Monte Vista St
Ada, OK 74820-4657
Phone
(580) 332-2323
NPI assigned
Nov 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 215732 OK Primary

Addresses

Primary practice location

430 N Monte Vista St
Ada, OK 74820-4657

Mailing address

4007 Magnolia Ridge Dr
Melissa, TX 75454-0314
Phone (405) 881-9965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240328000420 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870930696 Reassigns benefits to 3 organizations
I20250214000441 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870930696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

3270 Joe Battle Blvd
El Paso, TX 79938-2639
Phone (915) 832-2000

Hospital & facility affiliations

  • The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
215732OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ias Illinois PC CurrentSince May 13, 2025 Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 25, 2025 Accepting new patients
Western Oklahoma Anesthesia Consultants PLLC CurrentSince May 1, 2024 Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 25, 2025 Accepting new patients
Integral Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2025 Accepting new patients
Lone Star Anesthesia Partners PLLC CurrentSince Feb 1, 2025 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1800 Renaissance Blvd
Edmond, OK 73013
Phone (405) 359-2400

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

1710 W 3rd St
Ste 100
Elk City, OK 73644
Phone (580) 255-1555

3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

4 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6700

401 SW 80th St
Ste 200
Oklahoma City, OK 73139
Phone (405) 601-4227

1200 W Cherokee St
Wagoner, OK 74467
Phone (918) 485-1240

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

3270 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 351-0699

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Organizations & group practices 7

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.

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": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1831963834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 MAGNOLIA RIDGE DR",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754540314",
            "telephone_number": "405-881-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204657",
            "telephone_number": "580-332-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOWEYERE",
        "first_name": "AGBORTAMBENG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "215732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.