MR. WASHINGTON ODHIAMBO MITEMA FNP
NPI 1154709798
Nurse Practitioner - Family in Roanoke, TX

Active since May 15, 2015PECOS EnrolledAccepts Medicare Assignment
86.29/100
CMS Quality Rating
1305 US-377 HWY, ROANOKE, TX 76262(682) 831-1923 Get Directions Write a Review

NPPES record last updated: July 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 31, 2017 (3 updates tracked since 2017).

About Mr. Washington Odhiambo Mitema Fnp NPPES

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

MR. WASHINGTON ODHIAMBO MITEMA FNP (NPI 1154709798) is an individual family provider in Roanoke, Texas, licensed in Texas (724406) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1154709798
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. WASHINGTON ODHIAMBO MITEMACredential: FNP
Location Address1305 US-377 HWYRoanoke, TX 76262
Mailing Address1305 Us-377 HwyRoanoke, TX 76262 · (682) 831-1923
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 15, 2015
Last NPPES UpdateJuly 2, 20233 updates tracked since enumeration
NPPES CertifiedJuly 2, 2023
NPI 1154709798 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 · 724406
1305 US-377 HWY, Roanoke, TX 76262

Secondary Practice Location 1

Location 12716 Cedar Ridge LnFort Worth, TX 76177-2111 · Phone (682) 234-0660

Other Identifiers 1

Other724406TX · Texas Board Of Nursing

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

Mr. Washington Odhiambo Mitema Fnp 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 ID4385952530
PECOS Enrollment IDI20151007002723
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.

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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Pine Ridge Ihs Hospital

Acute Care Hospitals · Pine Ridge, SD
OwnershipGovernment - Federal
CMS Certification Number430098
LocationEast Highway 18Pine Ridge, SD 57770 · Oglala Lakota County County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76262 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.36
Improvement Activities40
Cost92.14

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 Washington Mitema's NPI number?

The NPI number for Washington Mitema is 1154709798. It was assigned to this individual provider in the NPPES registry on May 15, 2015.

Where is Washington Mitema located?

Washington Mitema practices at 1305 Us-377 Hwy, Roanoke, TX 76262. The listed phone number is (682) 831-1923.

What is Washington Mitema's specialty?

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

Is Washington Mitema enrolled in Medicare?

Yes. Washington Mitema 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 Washington Mitema accept?

Health plans from Blue Cross and Blue Shield of Texas list Washington Mitema 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 Washington Mitema affiliated with any hospitals?

According to CMS data, Washington Mitema is affiliated with Monument Health Rapid City Hospital and Pine Ridge Ihs Hospital.

When was this NPI record last updated?

The NPPES record for Washington Mitema was last updated on July 2, 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.