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ELISHA OMARI NYABOGA
NPI 1033005806
Nurse Practitioner - Family in Splendora, TX

Active since June 17, 2025PECOS Enrolled
16401 1ST ST, SPLENDORA, TX 77372(281) 968-4096 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elisha Omari Nyaboga NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISHA OMARI NYABOGA (NPI 1033005806) is an individual family provider in Splendora, Texas, licensed in Texas (1098723) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1033005806
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameELISHA OMARI NYABOGA
Location Address16401 1ST STSplendora, TX 77372-4026
Mailing Address21407 Pescado DrCypress, TX 77433-3259 · (346) 498-5244
Phone(281) 968-4096
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 17, 2025
NPPES CertifiedJune 17, 2025
✔ NPI 1033005806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1098723
16401 1ST ST, Splendora, TX 77372
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisha Omari Nyaboga is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466931886
PECOS Enrollment IDI20260205004365
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77372 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHRIMATHI RAVIKUMAR APRN
Nurse Practitioner (Family)
16401 1ST ST
SPLENDORA, TX 77372
Montgomery County (281) 968-4096
JESSICA A LAABS PA-C
Physician Assistant
16401 1ST ST
SPLENDORA, TX 77372
Montgomery County (281) 399-1170
DEBORAH SONGOK
Nurse Practitioner
16401 1ST ST
SPLENDORA, TX 77372
Montgomery County (281) 968-4096

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elisha Nyaboga's NPI number?

The NPI number for Elisha Nyaboga is 1033005806. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Elisha Nyaboga located?

Elisha Nyaboga practices at 16401 1st St, Splendora, TX 77372. The listed phone number is (281) 968-4096.

What is Elisha Nyaboga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elisha Nyaboga enrolled in Medicare?

Yes. Elisha Nyaboga is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elisha Nyaboga was last updated on June 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.