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FRIDAH OBONYO MONGARE PHNP
NPI 1336638253
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Active since May 07, 2018PECOS Enrolled
8111 LBJ FWY STE 900, DALLAS, TX 75251(469) 262-6459 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2025, May 22, 2025, May 7, 2018 (3 updates tracked since 2018).

About Fridah Obonyo Mongare Phnp NPPES

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

FRIDAH OBONYO MONGARE PHNP (NPI 1336638253) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (1025041) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1336638253
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFRIDAH OBONYO MONGARECredential: PHNP
Location Address8111 LBJ FWY STE 900Dallas, TX 75251-1322
Mailing Address1500 S Main St Fl 10Fort Worth, TX 76104-4917
Phone(469) 262-6459
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 7, 2018
Last NPPES UpdateFebruary 25, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1336638253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1025041
8111 LBJ FWY STE 900, Dallas, TX 75251
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fridah Obonyo Mongare Phnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800354218
PECOS Enrollment IDI20260817001071
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 Reassignment

Medicare enrollment records show Fridah Mongare reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Texas Behavioral Health Authority
5.6 mi
Psychiatry
8111 LYNDON B JOHNSON FWY STE 900
Dallas, TX 75251
  • Reassigned Medicare billing, Texas enrollment
  • 86 clinicians in this Medicare group
NPI 1457720120 (214) 366-9407

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 75251 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 3

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

QUANTERRIUS D NELSON LCDC
Counselor (Addiction (Substance Use Disorder))
8111 LBJ FWY STE 900
DALLAS, TX 75251
Dallas County (877) 653-6363
JACQUELINE MUGITA
Case Manager/Care Coordinator
8111 LBJ FWY STE 900
DALLAS, TX 75251
Dallas County (214) 366-9407
ALLYSON WILCOX LCSW
Social Worker (Clinical)
8111 LBJ FWY STE 900
DALLAS, TX 75251
Dallas County (469) 656-8709

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 Fridah Mongare's NPI number?

The NPI number for Fridah Mongare is 1336638253. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Where is Fridah Mongare located?

Fridah Mongare practices at 8111 Lbj Fwy Ste 900, Dallas, TX 75251. The listed phone number is (469) 262-6459.

What is Fridah Mongare's specialty?

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

Is Fridah Mongare enrolled in Medicare?

Yes. Fridah Mongare is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fridah Mongare's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fridah Mongare reassigns Medicare benefits to North Texas Behavioral Health Authority (Dallas, TX). The 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 Fridah Mongare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fridah Mongare was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.