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EMMANUEL ETUOKWU AGNP-C, PMHNP-BC
NPI 1154897502
Nurse Practitioner - Adult Health in Fort Worth, TX

Active since October 23, 2018PECOS Enrolled
75.27/100
CMS Quality Rating
1300 W TERRELL AVE STE K230, FORT WORTH, TX 76104(817) 250-4906 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 2, 2023, Aug 15, 2019, Nov 17, 2018 and 1 more (4 updates tracked since 2018).

About Emmanuel Etuokwu Agnp-c, Pmhnp-bc NPPES

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

EMMANUEL ETUOKWU AGNP-C, PMHNP-BC (NPI 1154897502) is an individual adult health provider in Fort Worth, Texas, licensed in Texas (AP139648) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154897502
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameEMMANUEL ETUOKWUCredential: AGNP-C, PMHNP-BC
Location Address1300 W TERRELL AVE STE K230Fort Worth, TX 76104-2820
Mailing Address1300 W Terrell Ave Ste K230Fort Worth, TX 76104-2820
Phone(817) 250-4906
Sole ProprietorNo
Enumeration DateOctober 23, 2018
Last NPPES UpdateMarch 2, 20234 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1154897502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · AP139648
Also ListedRegistered NurseTaxonomy 163W00000X · License 731092 (TX)
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP139648 (TX)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP139648 (TX)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AP139648 (TX)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP139648 (TX)
1300 W TERRELL AVE STE K230, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emmanuel Etuokwu Agnp-c, Pmhnp-bc 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

2

Medicare enrollment records show Emmanuel Etuokwu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Health Physicians Group
0.1 mi
Internal Medicine
1301 PENNSYLVANIA AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1174573596 (214) 860-6300
Texas Health Virtual Care
19 mi
Psychiatry
240 N MILLER RD
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 284 clinicians in this Medicare group
NPI 1003507542 (682) 236-6023

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 76104 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.

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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Other Providers at the Same Location NPPES 20

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

CLARA FORMUSOH NP
Nurse Practitioner (Family)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Tarrant County (817) 250-4906
SAMIR MUSLEH MD
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Tarrant County (817) 250-4906
SHAUN ANTHONY SARMIENTO
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Tarrant County (817) 250-4906
NHU QUYNH NGUYEN
Nurse Practitioner (Acute Care)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Tarrant County (817) 250-4906
DR. MADELINE LEONG M.D.
Internal Medicine (Hospice and Palliative Medicine)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Tarrant County (817) 250-4906
SANDRA KINGSBURY AGACNP-BC
Nurse Practitioner (Acute Care)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Tarrant County (817) 250-4906
DR. ADARSH GOYAL M.D.
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Tarrant County (817) 250-4906
ADEWALE BAMIDELE OGUNOYE DO
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Tarrant County (469) 233-6840

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 Emmanuel Etuokwu's NPI number?

The NPI number for Emmanuel Etuokwu is 1154897502. It was assigned to this individual provider in the NPPES registry on October 23, 2018.

Where is Emmanuel Etuokwu located?

Emmanuel Etuokwu practices at 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104. The listed phone number is (817) 250-4906.

What is Emmanuel Etuokwu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Emmanuel Etuokwu enrolled in Medicare?

Yes. Emmanuel Etuokwu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emmanuel Etuokwu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emmanuel Etuokwu reassigns Medicare benefits to 2 organizations: Texas Health Physicians Group (Fort Worth, TX) and Texas Health Virtual Care (Mansfield, TX). 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 Emmanuel Etuokwu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emmanuel Etuokwu accept?

Health plans from Blue Cross and Blue Shield of Texas list Emmanuel Etuokwu 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 Emmanuel Etuokwu was last updated on March 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.