GLORIA OLUCHI IKONNE
NPI 1114536364
Nurse Practitioner - Family in Carrollton, TX

Active since July 23, 2020PECOS Enrolled
1001 EAST HEBRON PKWY SUITE 118-297, CARROLLTON, TX 75010(469) 381-9070 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gloria Oluchi Ikonne NPPES

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

GLORIA OLUCHI IKONNE (NPI 1114536364) is an individual family provider in Carrollton, Texas, licensed in Texas (AP146154) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114536364
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGLORIA OLUCHI IKONNE
Location Address1001 EAST HEBRON PKWY SUITE 118-297Carrollton, TX 75010-1015
Mailing Address4620 Ridge LnCarrollton, TX 75010-1210 · (469) 381-9070
Sole ProprietorYes
Enumeration DateJuly 23, 2020
NPPES CertifiedJuly 23, 2020
✔ NPI 1114536364 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 · AP146154
1001 EAST HEBRON PKWY SUITE 118-297, Carrollton, TX 75010

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gloria Oluchi Ikonne is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Gloria Ikonne reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arizona enrollment
  • 556 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Oregon and Texas enrollments
  • 182 clinicians in this Medicare group
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75010 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.

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 Gloria Ikonne's NPI number?

The NPI number for Gloria Ikonne is 1114536364. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Gloria Ikonne located?

Gloria Ikonne practices at 1001 East Hebron Pkwy Suite 118-297, Carrollton, TX 75010. The listed phone number is (469) 381-9070.

What is Gloria Ikonne's specialty?

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

Is Gloria Ikonne enrolled in Medicare?

Yes. Gloria Ikonne is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gloria Ikonne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gloria Ikonne reassigns Medicare benefits to 3 organizations: Signify Health, LLC (Dallas, TX), Signify Health Medical Associates, PLLC (Dallas, TX) and Brookview Medical Associates, PLLC (Bohemia, NY). 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 Gloria Ikonne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gloria Ikonne accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Gloria Ikonne 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 Gloria Ikonne was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.