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KEYNA OMENUKOR
NPI 1215307715
Nurse Practitioner - Psychiatric/Mental Health in Mesquite, TX

Active since September 28, 2015PECOS EnrolledAccepts Medicare Assignment
1675 REPUBLIC PKWY STE 190, MESQUITE, TX 75150(972) 576-7399(972) 476-0006 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 1, 2026, Oct 2, 2024, Aug 15, 2024 and 3 more (6 updates tracked since 2015).

About Keyna Omenukor NPPES

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

KEYNA OMENUKOR (NPI 1215307715) is an individual psychiatric/mental health provider in Mesquite, Texas, licensed in Texas (AP128934) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215307715
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKEYNA OMENUKOR
Location Address1675 REPUBLIC PKWY STE 190Mesquite, TX 75150-6902
Mailing Address1675 Republic Pkwy Ste 190Mesquite, TX 75150-6902 · (972) 576-7399 · Fax (972) 476-0006
Phone(972) 576-7399
Fax(972) 476-0006
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 28, 2015
Last NPPES UpdateSeptember 1, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1215307715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in TX · AP128934✔ Licensed in VA · 0024286045✔ Licensed in WA · AP61500520
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP128934 (TX)
1675 REPUBLIC PKWY STE 190, Mesquite, TX 75150
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keyna Omenukor 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 ID7517963515
PECOS Enrollment IDI20160316001235, I20240118001617, I20241029004309
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

3

Medicare enrollment records show Keyna Omenukor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Krystal Family Psychiatry PLLC
Same address
Psychiatric/Mental Health
1675 REPUBLIC PKWY STE 104
Mesquite, TX 75150
  • Reassigned Medicare billing, District of Columbia, New Mexico, Texas and Washington enrollments
NPI 1699492298 (469) 231-7232
Sondermind Provider Network LLC
667 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Texas enrollment
  • 484 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279
Mental Health Specialty Group PA
1,034 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Texas and Washington enrollments
  • 315 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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 75150 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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

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

MS. ANIKE GRACE AGANABA ALABI NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
1675 REPUBLIC PKWY STE 190
MESQUITE, TX 75150
Dallas County (972) 576-7399

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 Keyna Omenukor's NPI number?

The NPI number for Keyna Omenukor is 1215307715. It was assigned to this individual provider in the NPPES registry on September 28, 2015.

Where is Keyna Omenukor located?

Keyna Omenukor practices at 1675 Republic Pkwy Ste 190, Mesquite, TX 75150. The listed phone number is (972) 576-7399.

What is Keyna Omenukor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Keyna Omenukor enrolled in Medicare?

Yes. Keyna Omenukor 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.

Which organizations bill Medicare for Keyna Omenukor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keyna Omenukor reassigns Medicare benefits to 3 organizations: Krystal Family Psychiatry PLLC (Mesquite, TX), Sondermind Provider Network LLC (Denver, CO) and Mental Health Specialty Group PA (Durham, NC). 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 Keyna Omenukor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keyna Omenukor accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 10 other insurers list Keyna Omenukor 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 Keyna Omenukor was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.