Mispa Ewube Nkongho, NP in Grand Prairie, TX - Medicare Nurse Practitioner

Mispa Ewube Nkongho, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grand Prairie, Texas. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Spectrum Healthcare Group Inc and her current practice location is 2212 Bald Eagle Way, Grand Prairie, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 900-2529.

Mispa Ewube Nkongho is licensed to practice in Texas (license number 1050549) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083389662.

Contact Information

	Mispa Ewube Nkongho, NP
	2212 Bald Eagle Way, Grand Prairie, TX 75052-4138
	(214) 900-2529
	Not Available

Map and Direction

Provider's Profile

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.

Medical Education and Training:

Mispa Ewube Nkongho graduated from nursing school in 2021

NPI Data:

NPI Number: 1083389662
Provider Enumeration Date: 08/15/2021
Last Update Date: 10/17/2023

Medicare PECOS Information:

PECOS PAC ID: 3274922497
Enrollment ID: I20211109003392

Medical Identifiers

Medical identifiers for Mispa Ewube Nkongho such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083389662	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1050549 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Spectrum Healthcare Group Inc	3072411388	32

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. Mispa Ewube Nkongho allows following entities to bill medicare on her behalf.

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

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. Mispa Ewube Nkongho 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
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

Reviews and Comments

Nurse Practitioner Nurses in Grand Prairie, TX

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: Medicare Enrolled 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
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
Modupe Olatunde, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1020 S. Carrier Pwky, Grand Prairie, TX 75051 Phone: 214-743-1200

Mispa Ewube Nkongho, NP - Medicare Nurse Practitioner in Grand Prairie, TX