EDOGHOGHO STACY EDOSONMWAN RN
NPI 1356808901
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Active since March 01, 2019PECOS EnrolledAccepts Medicare Assignment
3230 REMOND DR, DALLAS, TX 75211(214) 743-1200 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2026, Nov 10, 2025, Nov 4, 2025 and 4 more (7 updates tracked since 2019).

About Edoghogho Stacy Edosonmwan Rn NPPES

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

EDOGHOGHO STACY EDOSONMWAN RN (NPI 1356808901) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (1116542) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356808901
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEDOGHOGHO STACY EDOSONMWANCredential: RN
Location Address3230 REMOND DRDallas, TX 75211-1619
Mailing Address1428 E Arlington AveFort Worth, TX 76104-6124
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 1, 2019
Last NPPES UpdateMay 29, 20267 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1356808901 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
Licenses Licensed in TX · 1116542 Licensed in LA · 230297
3230 REMOND DR, Dallas, TX 75211

Secondary Practice Locations 2

Location 1201 Amanda Ln Ste 100Waxahachie, TX 75165-1391 · Phone (469) 523-2646 · Fax (469) 242-9599
Location 21350 N Westmoreland RdDallas, TX 75211-1654 · Phone (214) 330-0036

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

Edoghogho Stacy Edosonmwan Rn 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 ID7911449590
PECOS Enrollment IDI20240807002562
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 75211 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 20

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

Counselor (Professional)
3230 REMOND DR
DALLAS, TX 75211
Dietitian, Registered
3230 REMOND DR
DALLAS, TX 75211
Occupational Therapist
3230 REMOND DR
DALLAS, TX 75211
Psychiatry & Neurology (Psychiatry)
3230 REMOND DR
DALLAS, TX 75211
Nurse Practitioner (Psychiatric/Mental Health)
3230 REMOND DR
DALLAS, TX 75211
Psychiatry & Neurology (Psychiatry)
3230 REMOND DR
DALLAS, TX 75211
Pharmacy (Clinic Pharmacy)
3230 REMOND DR, SUITE 162
DALLAS, TX 75211
Speech-Language Pathologist
3230 REMOND DR
DALLAS, TX 75211

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 Edoghogho Edosonmwan's NPI number?

The NPI number for Edoghogho Edosonmwan is 1356808901. It was assigned to this individual provider in the NPPES registry on March 1, 2019.

Where is Edoghogho Edosonmwan located?

Edoghogho Edosonmwan practices at 3230 Remond Dr, Dallas, TX 75211. The listed phone number is (214) 743-1200.

What is Edoghogho Edosonmwan's specialty?

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

Is Edoghogho Edosonmwan enrolled in Medicare?

Yes. Edoghogho Edosonmwan 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 Edoghogho Edosonmwan accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, HMO Louisiana, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Edoghogho Edosonmwan 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 Edoghogho Edosonmwan was last updated on May 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.