Dr Ngufor Fube Divine, CRNP-PMH in Fort Sam Houston, TX

Dr Ngufor Fube Divine, CRNP-PMH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Sam Houston, Texas. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 808-1859.

Dr Ngufor Fube Divine is licensed to practice in Maryland (license number R241388) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669197208.

Contact Information

	Dr Ngufor Fube Divine, CRNP-PMH
	3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504
	(210) 808-1859
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Ngufor Fube Divine
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	3551 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ngufor Fube Divine graduated from nursing school in 2022

NPI Data:

NPI Number: 1669197208
Provider Enumeration Date: 10/06/2022
Last Update Date: 11/19/2025

Medicare PECOS Information:

PECOS PAC ID: 1557767688
Enrollment ID: I20221209000420

Medical Identifiers

Medical identifiers for Dr Ngufor Fube Divine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669197208	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R241388 (Maryland)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ngufor Fube Divine allows following entities to bill medicare on his behalf.

Entity Name	Primal Point Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114691672 PECOS PAC ID: 8820494958 Enrollment ID: O20210915000015

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ngufor Fube Divine is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ngufor Fube Divine, CRNP-PMH 9001 Harford Rd, Parkville, MD 21234-4029 Ph: (410) 870-1590	Dr Ngufor Fube Divine, CRNP-PMH 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 808-1859

Reviews and Comments

Nurse Practitioner Nurses in Fort Sam Houston, TX

Anastasiya Zemtsova, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-7500
Cathy Darlene Cotton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Mche-qd (credentials), Fort Sam Houston, TX 78234 Phone: 210-916-2460
Jessa Perry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Leanne Putnam, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Hannah Morales, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3000
Allen Ward Magnone, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4141
Julia M Ceremuga, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Mche-qd (credentials), Fort Sam Houston, TX 78234 Phone: 210-916-5554 Fax: 210-916-2121

Dr Ngufor Fube Divine, CRNP-PMH - Medicare Nurse Practitioner in Fort Sam Houston, TX