| Mispa Ewube Nkongho, NP | |
|
2212 Bald Eagle Way, Grand Prairie, TX 75052-4138 | |
| (214) 900-2529 | |
| Not Available |
| Full Name | Mispa Ewube Nkongho |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 2212 Bald Eagle Way, Grand Prairie, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083389662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1050549 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spectrum Healthcare Group Inc | 3072411388 | 27 |
| Entity Name | Spectrum Healthcare Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487635389 PECOS PAC ID: 3072411388 Enrollment ID: O20031223000698 |
| Entity Name | Health Group Providers, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932560729 PECOS PAC ID: 9335430693 Enrollment ID: O20160617000240 |
| Entity Name | Bethel Hills Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578104154 PECOS PAC ID: 3173951670 Enrollment ID: O20200316002710 |
| Entity Name | Brown Psychiatry Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619663382 PECOS PAC ID: 8527426022 Enrollment ID: O20230615000193 |
| Mailing Address | Practice Location Address |
|---|---|
| Mispa Ewube Nkongho, NP 2212 Bald Eagle Way, Grand Prairie, TX 75052-4138 Ph: (214) 900-2529 | Mispa Ewube Nkongho, NP 2212 Bald Eagle Way, Grand Prairie, TX 75052-4138 Ph: (214) 900-2529 |
Amber Mullins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4203 S Carrier Pkwy, Grand Prairie, TX 75052 Phone: 972-642-3190 | |
Mrs. Elsie Manuel, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2740 N Hwy 360, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-8597 | |
Joy Ogbimi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2922 Pegasus Ct, Grand Prairie, TX 75052 Phone: 214-809-0542 | |
Akhere Isenalumhe, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3012 Fairview Dr, Grand Prairie, TX 75052 Phone: 972-533-5136 | |
Dominique Cormier, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2635 Stonelake Dr Apt 324, Grand Prairie, TX 75050 Phone: 817-846-5815 | |
Mrs. Susan Renee Carlson, MSN, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2740 N Hwy 360, Suite 100, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-4940 | |
Michael Owusu Agyemang, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2520 W I 20, Grand Prairie, TX 75052 Phone: 972-264-5858 Fax: 972-264-8800 |