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MISPA EWUBE NKONGHO NP
NPI 1083389662
Nurse Practitioner - Psychiatric/Mental Health in Grand Prairie, TX

Active since August 15, 2021PECOS EnrolledAccepts Medicare Assignment
2212 BALD EAGLE WAY, GRAND PRAIRIE, TX 75052(214) 900-2529 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 17, 2023, Aug 15, 2021 (2 updates tracked since 2021).

About Mispa Ewube Nkongho Np NPPES

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

MISPA EWUBE NKONGHO NP (NPI 1083389662) is an individual psychiatric/mental health provider in Grand Prairie, Texas, licensed in Texas (1050549) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083389662
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMISPA EWUBE NKONGHOCredential: NP
Location Address2212 BALD EAGLE WAYGrand Prairie, TX 75052-4138
Mailing Address2212 Bald Eagle WayGrand Prairie, TX 75052-4138 · (214) 900-2529
Phone(214) 900-2529
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 15, 2021
Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1083389662 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 · 1050549
2212 BALD EAGLE WAY, Grand Prairie, TX 75052
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mispa Ewube Nkongho Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274922497
PECOS Enrollment IDI20211109003392
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mispa Nkongho reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Healthcare Group, Inc.
811 mi
Mental Health (Including Community Mental Health Center)
1200 N COUNTRY CLUB RD
Tucson, AZ 85716
  • Reassigned Medicare billing, Arizona enrollment
  • 58 clinicians in this Medicare group
NPI 1831811850 (877) 634-7333
Grow Healthcare Group PA
1,121 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Colorado enrollment
  • 504 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
37 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services26 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
24 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75052 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.

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 Mispa Nkongho's NPI number?

The NPI number for Mispa Nkongho is 1083389662. It was assigned to this individual provider in the NPPES registry on August 15, 2021.

Where is Mispa Nkongho located?

Mispa Nkongho practices at 2212 Bald Eagle Way, Grand Prairie, TX 75052. The listed phone number is (214) 900-2529.

What is Mispa Nkongho's specialty?

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

Is Mispa Nkongho enrolled in Medicare?

Yes. Mispa Nkongho is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mispa Nkongho's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mispa Nkongho reassigns Medicare benefits to 2 organizations: Spectrum Healthcare Group, Inc. (Tucson, AZ) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mispa Nkongho's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mispa Nkongho accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Cigna Healthcare and Oscar Health Plan, Inc. list Mispa Nkongho as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mispa Nkongho was last updated on October 17, 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.