Individual provider Active NPI

Chiazor Robin-Ngbor

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1982462446
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1152324 Issued in TX
Practice address
12790 Merit Dr
Dallas, TX 75251-1217
Phone
(800) 893-9698
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1152324 TX Primary
Registered Nurse 163W00000X 973786 TX

Addresses

Primary practice location

12790 Merit Dr
Dallas, TX 75251-1217

Mailing address

12790 Merit Dr Ste 400
Dallas, TX 75251-1256
Phone (800) 893-9698

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
I20250108000485 TX Practitioner - Nurse Practitioner 6406384247 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ipc Pac Healthcare Services of Texas PLLCGroup PAC ID 1759676307, 42 clinicians

Practice addresses (Care Compare)

1010 Emerald Isle
Autumn Leaves Nursing and Rehab TX
Dallas, TX 75218-3980
Phone (214) 328-4161

3210 W Hwy 22
Corsicana, TX 75110-2449
Phone (903) 872-4880

4141 S Braeswood Blvd
Bayou Manor TX
Houston, TX 77025-3307
Phone (713) 666-2651

700 S Bowie Dr
Weatherford, TX 76086-5140
Phone (817) 594-2715

8383 Meadow Rd
Dallas, TX 75231-3701
Phone (214) 239-6000

999 Raintree Cir
Allen, TX 75013-4947
Phone (972) 390-8088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
973786TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Texas PLLC CurrentSince Dec 9, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Dec 9, 2024 Accepting new patients
CS Pacs 3 Southwest, LLC CurrentSince Dec 9, 2024 Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

Organizations & group practices 3

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1982462446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12790 MERIT DR STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511256",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12790 MERIT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511217",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBIN-NGBOR",
        "first_name": "CHIAZOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1152324",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "973786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.