NDIFREKE ITATA
NPI 1174033286
Nurse Practitioner - Family in Denton, TX

Active since October 03, 2017PECOS EnrolledAccepts Medicare Assignment
2412 OLD NORTH RD STE 101K, DENTON, TX 76209(940) 566-4999 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ndifreke Itata NPPES

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

NDIFREKE ITATA (NPI 1174033286) is an individual family provider in Denton, Texas, licensed in Texas (AP135734) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1174033286
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNDIFREKE ITATA
Location Address2412 OLD NORTH RD STE 101KDenton, TX 76209-1524
Mailing Address2412 Old North Rd Ste 101kDenton, TX 76209-1524 · (940) 566-4999
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 3, 2017
Last NPPES UpdateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
NPI 1174033286 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 · AP135734
2412 OLD NORTH RD STE 101K, Denton, TX 76209

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

Ndifreke Itata 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 ID8426072125
PECOS Enrollment IDI20250718002093
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76209 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 2

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

Home Health
2412 OLD NORTH RD STE 101K
DENTON, TX 76209
Nurse Practitioner (Family)
2412 OLD NORTH RD STE 101K
DENTON, TX 76209

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 Ndifreke Itata's NPI number?

The NPI number for Ndifreke Itata is 1174033286. It was assigned to this individual provider in the NPPES registry on October 3, 2017.

Where is Ndifreke Itata located?

Ndifreke Itata practices at 2412 Old North Rd Ste 101K, Denton, TX 76209. The listed phone number is (940) 566-4999.

What is Ndifreke Itata's specialty?

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

Is Ndifreke Itata enrolled in Medicare?

Yes. Ndifreke Itata 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 Ndifreke Itata accept?

Health plans from Blue Cross and Blue Shield of Texas list Ndifreke Itata 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 Ndifreke Itata was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.