Active NPI
Sussan C Nwogwugwu, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP141239
- Practice address
- 715 N Fielder Rd
Arlington, TX 76012-4695 - Phone
- (682) 220-9615
- NPI assigned
- Apr 16, 2019
- Last updated
- Apr 26, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95021812 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP141239 | TX | Primary |
Addresses
Primary practice location
715 N Fielder Rd
Arlington, TX 76012-4695
Mailing address
7809 Salton LN
Arlington, TX 76001-5901
Phone (213) 984-8478
Other practice location 1
29101 Hospital Rd
Lake Arrowhead, CA 92352-9706
Phone (909) 436-3235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1780 Barnes Blvd SW
Tumwater, WA 98512-0410
Phone (972) 449-0540
2805 NE 129TH St
Vancouver, WA 98686-3324
Phone (972) 449-0540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Current | Accepting new patients | |
| Forefront-Rush Medical Service PA | Current | Accepting new patients | |
| San Bernardino Mountains Community Hospital District | Current | Accepting new patients | |
| Forefront-Rosenzweig Medical Services Professional Corporation | Current | Accepting new patients | |
| Emerald Behavioral Health Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540
1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744
3201 E Pioneer Pkwy
Ste 40
Arlington, TX 76010
Phone (212) 984-8478
1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512
7356 15th Ave NW
Seattle, WA 98117
1780 Barnes Blvd SW
Tumwater, WA 98512
Phone (212) 993-7809
Organizations & group practices 5
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Arlington, TX
- NPI 1780348318
-
- Psychiatry Physician
- Dallas, TX
- NPI 1588101745
WA
-
- Psychiatry Physician
- Amarillo, TX
- NPI 1083036651
-
dba Mountains Community Hospital Rural Health Clinic
- Rural Health Clinic/Center
- Lake Arrowhead, CA
- NPI 1528172541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745625600000",
"number": "1912560954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7809 SALTON LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760015901",
"telephone_number": "213-984-8478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 N FIELDER RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760124695",
"telephone_number": "682-220-9615"
}
],
"practiceLocations": [
{
"address_1": "29101 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Lake Arrowhead",
"state": "CA",
"postal_code": "923529706",
"country_code": "US",
"telephone_number": "909-436-3235",
"fax_number": "909-336-5751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NWOGWUGWU",
"first_name": "SUSSAN",
"middle_name": "C",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2025-04-26",
"certification_date": "2025-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95021812",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP141239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.