EMMANUEL ETUOKWU AGNP-C, PMHNP-BC
NPI 1154897502
Nurse Practitioner - Adult Health in Fort Worth, TX
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
Specialties & Licenses 6
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 (PECOS)
Emmanuel Etuokwu Agnp-c, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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.
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.
# Emmanuel Etuokwu, AGNP-C, PMHNP-BC · NPI 1154897502
Adult Health physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since October 23, 2018.
## Identity
- **NPI:** 1154897502 (Entity type: Individual)
- **Enumerated:** October 23, 2018
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** AP139648 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 W TERRELL AVE STE K230, Fort Worth, TX 76104-2820
- **Phone:** (817) 250-4906
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1154897502) · Data from the CMS NPPES public registry.