VICTORIA O OBIANWU
NPI 1124708078
Nurse Practitioner in Jacksonville, TX

Q: What is Victoria Obianwu's NPI number?

The NPI number for Victoria Obianwu is 1124708078. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Q: What is Victoria Obianwu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Victoria Obianwu was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 July 24, 2023PECOS EnrolledAccepts Medicare Assignment

1602 S JACKSON ST, JACKSONVILLE, TX 75766(430) 205-4150 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2024, Nov 19, 2024, Nov 8, 2023 and 1 more (4 updates tracked since 2023).

On this page

About Victoria O Obianwu NPPES

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

VICTORIA O OBIANWU (NPI 1124708078) is an individual nurse practitioner in Jacksonville, Texas, licensed in Texas (1129635) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124708078

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameVICTORIA O OBIANWU

Location Address1602 S JACKSON STJacksonville, TX 75766-3028

Mailing Address1602 S Jackson StJacksonville, TX 75766-3028 · (430) 205-4150

Phone(430) 205-4150

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 24, 2023

Last NPPES UpdateDecember 2, 20244 updates tracked since enumeration

NPPES CertifiedDecember 2, 2024

✔ NPI 1124708078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 1129635

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1129635 (TX)

1602 S JACKSON ST, Jacksonville, TX 75766

Open in Google Maps ↗

Secondary Practice Locations 3

Location 13131 Troup HwyTyler, TX 75701-8350 · Phone (903) 510-7000

Location 25414 S Broadway AveTyler, TX 75703-1335 · Phone (903) 581-1601

Location 33593 E Grande BlvdTyler, TX 75707-1400 · Phone (903) 839-2585

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.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

Victoria O Obianwu 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 ID3779931308

PECOS Enrollment IDI20231121000963

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.

Hospital Affiliations CMS Care Compare 2

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Ut Health East Texas Jacksonville Hospital

Acute Care Hospitals · Jacksonville, TX

OwnershipProprietary

CMS Certification Number450194

Location501 S RagsdaleJacksonville, TX 75766 · Cherokee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75766 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 3

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

BAILEE CLARK

Nurse Practitioner (Family)

1602 S JACKSON ST
JACKSONVILLE, TX 75766

Cherokee County (903) 721-3093

QV URGENT CARE TX PLLC

Clinic/Center (Rural Health)

1602 S JACKSON ST
JACKSONVILLE, TX 75766

Cherokee County (430) 205-4150

MEGAN MICHELLE OSORIO NP

Nurse Practitioner

1602 S JACKSON ST
JACKSONVILLE, TX 75766

Cherokee County (430) 205-4150

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 Victoria Obianwu's NPI number?

The NPI number for Victoria Obianwu is 1124708078. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Victoria Obianwu located?

Victoria Obianwu practices at 1602 S Jackson St, Jacksonville, TX 75766. The listed phone number is (430) 205-4150.

What is Victoria Obianwu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Victoria Obianwu enrolled in Medicare?

Yes. Victoria Obianwu 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 Victoria Obianwu accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Victoria Obianwu 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.

Is Victoria Obianwu affiliated with any hospitals?

According to CMS data, Victoria Obianwu is affiliated with Christus Mother Frances Hospital and Ut Health East Texas Jacksonville Hospital.

When was this NPI record last updated?

The NPPES record for Victoria Obianwu was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.