FREDRICK ODONGO
NPI 1104582006
Nurse Practitioner - Psychiatric/Mental Health in Arlington, TX

Active since November 15, 2021PECOS EnrolledAccepts Medicare Assignment
715 N FIELDER RD, ARLINGTON, TX 76012(817) 962-0409 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fredrick Odongo NPPES

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

FREDRICK ODONGO (NPI 1104582006) is an individual psychiatric/mental health provider in Arlington, Texas, licensed in Texas (1051796) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104582006
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameFREDRICK ODONGO
Location Address715 N FIELDER RDArlington, TX 76012-4695
Mailing Address8206 Ithaca DrArlington, TX 76002-4423 · (817) 412-3406
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 15, 2021
NPPES CertifiedNovember 15, 2021
NPI 1104582006 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 · 1051796
715 N FIELDER RD, Arlington, TX 76012

Accepted Insurance

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

Fredrick Odongo 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 ID7618362070
PECOS Enrollment IDI20220322000307
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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
2,464 services320 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
84 services30 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
83 services83 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76012 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 19

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

Dermatology
715 N FIELDER RD
ARLINGTON, TX 76012
Dermatology
715 N FIELDER RD
ARLINGTON, TX 76012
Nurse Practitioner (Psychiatric/Mental Health)
715 N FIELDER RD
ARLINGTON, TX 76012
Licensed Vocational Nurse
715 N FIELDER RD
ARLINGTON, TX 76012
Dermatology
715 N FIELDER RD
ARLINGTON, TX 76012
Psychologist (Counseling)
715 N FIELDER RD
ARLINGTON, TX 76012
Nurse Practitioner (Family)
715 N FIELDER RD
ARLINGTON, TX 76012
Nurse Practitioner (Psychiatric/Mental Health)
715 N FIELDER RD
ARLINGTON, TX 76012

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 Fredrick Odongo's NPI number?

The NPI number for Fredrick Odongo is 1104582006. It was assigned to this individual provider in the NPPES registry on November 15, 2021.

Where is Fredrick Odongo located?

Fredrick Odongo practices at 715 N Fielder Rd, Arlington, TX 76012. The listed phone number is (817) 962-0409.

What is Fredrick Odongo's specialty?

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

Is Fredrick Odongo enrolled in Medicare?

Yes. Fredrick Odongo 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.

What insurance does Fredrick Odongo accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and Providence Health Plan list Fredrick Odongo 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 Fredrick Odongo was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.