Individual provider Active NPI

Josephine N Ndungu, NP

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1942690284
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126790 Issued in TX
Practice address
2801 Gateway Dr Ste 100
Irving, TX 75063-2694
Phone
(844) 388-6540
Fax
(844) 452-8151
NPI assigned
Jan 26, 2015
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 AP126790 TX Primary

Addresses

Primary practice location

2801 Gateway Dr Ste 100
Irving, TX 75063-2694

Mailing address

2801 Gateway Dr Ste 100
Irving, TX 75063-2694
Phone (844) 388-6540

Other practice location 1

1650 S Beach St
Fort Worth, TX 76105-2209
Phone (817) 702-1100

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
I20151002000453 TX Practitioner - Nurse Practitioner 5890003370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians

Practice addresses (Care Compare)

1050 W Arkansas LN
Arlington, TX 76013-6308
Phone (817) 702-1100

1350 S Main St
Suite 1600
Fort Worth, TX 76104-7611
Phone (817) 702-9701

1350 S Main St FL
1 Healing Wings/Infectious Disease
Fort Worth, TX 76104-7611
Phone (817) 702-3701

1500 S Main St
Fort Worth, TX 76104-4917

1500 S Main St FL
1 Urgent Care Center
Fort Worth, TX 76104-4917
Phone (817) 702-1451

1650 S Beach St
Fort Worth, TX 76105-2209
Phone (817) 702-1100

3200 W Euless Blvd
Euless, TX 76040-6253
Phone (817) 702-1100

3301 Stalcup Rd
Fort Worth, TX 76119-1726
Phone (817) 702-7150

3308 Deen Rd
Fort Worth, TX 76106-6524
Phone (817) 702-7000

401 Stribling Dr
Azle, TX 76020-2581
Phone (817) 702-1100

4701 Bryant Irvin Rd N
Fort Worth, TX 76107-7627
Phone (817) 702-7400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
78.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc CurrentSince May 27, 2017 Accepting new patients

Locations

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1650 S Beach St
Ft Worth, TX 76105
Phone (817) 702-8647

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.

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1942690284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 GATEWAY DR STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632694",
            "telephone_number": "844-388-6540",
            "fax_number": "844-452-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 GATEWAY DR STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632694",
            "telephone_number": "844-388-6540",
            "fax_number": "844-452-8151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 S Beach St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761052209",
            "country_code": "US",
            "telephone_number": "817-702-1100",
            "fax_number": "817-702-6124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDUNGU",
        "first_name": "JOSEPHINE",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.