DR. NNEKA CRYSTAL PAPILLION M.D.
NPI 1194189696
Family Medicine in Eden, TX

Active since April 11, 2016PECOS Enrolled
614 EAKER ST, EDEN, TX 76837(325) 869-5911(325) 869-5218 Get Directions Write a Review

NPPES record last updated: April 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2024, Jun 24, 2020 (2 updates tracked since 2020).

About Dr. Nneka Crystal Papillion M.d. NPPES

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

DR. NNEKA CRYSTAL PAPILLION M.D. (NPI 1194189696) is an individual family medicine provider in Eden, Texas, licensed in Texas (S3271) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194189696
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NNEKA CRYSTAL PAPILLIONCredential: M.D.
Location Address614 EAKER STEden, TX 76837-7683
Mailing Address2930 Country CirMesquite, TX 75181-2137 · (214) 621-7163
Fax(325) 869-5218
Sole ProprietorYes
Enumeration DateApril 11, 2016
Last NPPES UpdateApril 13, 20242 updates tracked since enumeration
NPPES CertifiedApril 13, 2024
NPI 1194189696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · S3271
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
614 EAKER ST, Eden, TX 76837

Other Names 1

Former Name (1)Dr. Nneka Crystal Onwumere M.d.

Secondary Practice Locations 2

Location 11402 E Broad StMansfield, TX 76063-1806 · Phone (844) 941-3087
Location 22416 NW 18th StFort Worth, TX 76106-6604 · Phone (844) 941-3087

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)

Dr. Nneka Crystal Papillion M.d. 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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
413 services45 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
42 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76837 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$17.99 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$108.45 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$34.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Physical Medicine & Rehabilitation
614 EAKER ST
EDEN, TX 76837
Nurse Practitioner (Family)
614 EAKER ST
EDEN, TX 76837
Family Medicine
614 EAKER ST
EDEN, TX 76837
Physician Assistant
614 EAKER ST
EDEN, TX 76837

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 Nneka Papillion's NPI number?

The NPI number for Nneka Papillion is 1194189696. It was assigned to this individual provider in the NPPES registry on April 11, 2016. The provider is also known as Dr. Nneka Crystal Onwumere M.D..

Where is Nneka Papillion located?

Nneka Papillion practices at 614 Eaker St, Eden, TX 76837. The listed phone number is (325) 869-5911.

What is Nneka Papillion's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nneka Papillion enrolled in Medicare?

Yes. Nneka Papillion is registered in the Medicare PECOS enrollment system.

What insurance does Nneka Papillion accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Nneka Papillion 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 Nneka Papillion was last updated on April 13, 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.