Individual provider Active NPI

Nikki M Nazworth

  • Psychiatric/Mental Health Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1992068084
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1073515 Issued in TX
Practice address
4225 Woods PL BLDG 2
Abilene, TX 79602-7991
Phone
(325) 690-0911
Fax
(325) 690-0915
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 67498 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1073515 TX Primary

Addresses

Primary practice location

4225 Woods PL BLDG 2
Abilene, TX 79602-7991

Mailing address

4225 Woods PL BLDG 2
Abilene, TX 79602-7991
Phone (325) 690-0911

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
I20220502000767 TX Practitioner - Nurse Practitioner 2466849922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Opgt, Inc.Group PAC ID 6901029206, 11 clinicians

Practice addresses (Care Compare)

4225 Woods PL
Abilene, TX 79602-7991
Phone (325) 690-0911

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Opgt Inc CurrentSince Apr 20, 2022 Accepting new patients
Privia Medical Group West Texas, PLLC PastSince Oct 15, 2023 Accepting new patients

Locations

4225 Woods Pl
Abilene, TX 79602
Phone (325) 468-8782

4225 Woods Pl
Bldg 2
Abilene, TX 79602
Phone (325) 690-0911

3300 S FM 1788
Midland, TX 79706
Phone (432) 561-5915

Interoperability endpoints

  • Direct secure messaging: nikki.nazworth.p2@direct.oceanshealthcare.nextgenshare.com

Organizations & group practices 2

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1992068084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 WOODS PL BLDG 2",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027991",
            "telephone_number": "325-690-0911",
            "fax_number": "325-690-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 WOODS PL BLDG 2",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027991",
            "telephone_number": "325-690-0911",
            "fax_number": "325-690-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZWORTH",
        "first_name": "NIKKI",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67498",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1073515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.