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KEYNA OMENUKOR
NPI 1215307715
Nurse Practitioner - Family 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: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2024, Aug 15, 2024, Nov 16, 2023 and 2 more (5 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 family 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 Taxonomy363LF0000X
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 UpdateOctober 2, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1215307715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP128934
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 0024286045 (VA), AP61500520 (WA), AP128934 (TX)
1675 REPUBLIC PKWY STE 190, Mesquite, TX 75150
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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, and ordering and referring status from the CMS PECOS system.

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.

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 Family, with taxonomy code 363LF0000X.

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.

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 6 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 October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.