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SMART NWACHUKWU
NPI 1053014159
Nurse Practitioner - Psychiatric/Mental Health in Desoto, TX

Active since March 27, 2023PECOS Enrolled
341 CRYSTAL LAKE DR, DESOTO, TX 75115(214) 872-0280 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Smart Nwachukwu NPPES

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

SMART NWACHUKWU (NPI 1053014159) is an individual psychiatric/mental health provider in Desoto, Texas, licensed in Texas (2022058471) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053014159
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSMART NWACHUKWU
Location Address341 CRYSTAL LAKE DRDesoto, TX 75115-3798
Mailing Address341 Crystal Lake DrDesoto, TX 75115-3798 · (214) 872-0280
Phone(214) 872-0280
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 25, 2023
✔ NPI 1053014159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 2022058471
341 CRYSTAL LAKE DR, Desoto, TX 75115
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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)

Smart Nwachukwu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719468958
PECOS Enrollment IDI20260225002550
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 75115 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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

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

IHUOMA NWACHUKWU
Nurse Practitioner (Psychiatric/Mental Health)
341 CRYSTAL LAKE DR
DESOTO, TX 75115
Dallas County (214) 753-6044

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 Smart Nwachukwu's NPI number?

The NPI number for Smart Nwachukwu is 1053014159. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Smart Nwachukwu located?

Smart Nwachukwu practices at 341 Crystal Lake Dr, Desoto, TX 75115. The listed phone number is (214) 872-0280.

What is Smart Nwachukwu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Smart Nwachukwu enrolled in Medicare?

Yes. Smart Nwachukwu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Smart Nwachukwu was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.