Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RICHARD EKWOGE NGOLE NURSE PRACTITIONER
NPI 1104376177
Nurse Practitioner - Family in San Antonio, TX

Q: What is Richard Ngole's NPI number?

The NPI number for Richard Ngole is 1104376177. It was assigned to this individual provider in the NPPES registry on October 13, 2016.

Q: What is Richard Ngole's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Richard Ngole was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

Active since October 13, 2016PECOS Enrolled

7603 CULEBRA RD, SAN ANTONIO, TX 78251(210) 680-0299 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2026, Jun 23, 2023, Oct 13, 2016 (3 updates tracked since 2016).

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About Richard Ekwoge Ngole Nurse Practitioner NPPES

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

RICHARD EKWOGE NGOLE NURSE PRACTITIONER (NPI 1104376177) is an individual family provider in San Antonio, Texas, licensed in Texas (132125) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Brazosport, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104376177

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameRICHARD EKWOGE NGOLECredential: NURSE PRACTITIONER

Location Address7603 CULEBRA RDSan Antonio, TX 78251-1437

Mailing Address7603 Culebra RdSan Antonio, TX 78251-1437 · Fax (210) 680-0299

Phone(210) 680-0299

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 13, 2016

Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1104376177 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 · 132125

7603 CULEBRA RD, San Antonio, TX 78251

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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 and accepts Medicare assignment

Richard Ekwoge Ngole Nurse Practitioner 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 ID3476611047

PECOS Enrollment IDI20171002002689

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.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

91 services88 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Brazosport

Acute Care Hospitals · Lake Jackson, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450072

Location100 Medical DriveLake Jackson, TX 77566 · Brazoria County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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 14

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

DAJA CARRICK HERNANDEZ NP-C

Nurse Practitioner (Family)