Individual provider Active NPI

Dorothy Njideka Nwanne, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1952079634
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1052612 Issued in TX
Practice address
2845 Clear Creek Dr
Rockwall, TX 75032-9249
Phone
(469) 257-3500
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 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 1052612 TX Primary

Addresses

Primary practice location

2845 Clear Creek Dr
Rockwall, TX 75032-9249

Mailing address

2845 Clear Creek Dr
Rockwall, TX 75032-9249
Phone (469) 257-3500

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
I20220330001549 TX Practitioner - Nurse Practitioner 4486694460 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Border Region MH Mr Community CenterGroup PAC ID 0648207381, 19 clinicians

Practice addresses (Care Compare)

101 1St St
Zapata, TX 78076-3319
Phone (956) 794-9664

1500 Pappas St
Laredo, TX 78041-1701
Phone (956) 794-3000

Merit-based Incentive Payment System (MIPS)

Final score
75.31 of 100Reported as group
Quality
56.91
Promoting interoperability
52
Improvement activities
40
Cost
84.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Mar 14, 2022 Accepting new patients
Border Region MH Mr Community Center CurrentSince May 4, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Trend Health Care Inc CurrentSince Sep 1, 2021 Accepting new patients
Medix Clinical Psychiatry PC Psychiatric/Mental Health Current Accepting new patients

Locations

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

1350 N Westmoreland Rd
Dallas, TX 75211
Phone (214) 331-0107

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

1500 Pappas St
Laredo, TX 78041
Phone (956) 794-3000

Organizations & group practices 6

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1952079634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 CLEAR CREEK DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750329249",
            "telephone_number": "469-257-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 CLEAR CREEK DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750329249",
            "telephone_number": "469-257-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANNE",
        "first_name": "DOROTHY",
        "middle_name": "NJIDEKA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1052612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.