NNENE NCHACK EGBE-TAMBE
NPI 1417541194
Nurse Practitioner - Psychiatric/Mental Health in Fort Worth, TX

Q: What is Nnene Egbe-tambe's NPI number?

The NPI number for Nnene Egbe-tambe is 1417541194. It was assigned to this individual provider in the NPPES registry on February 23, 2021.

Q: What is Nnene Egbe-tambe's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nnene Egbe-tambe was last updated on March 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 23, 2021PECOS Enrolled

5560 MESA SPRINGS DR, FORT WORTH, TX 76123(682) 477-3534(682) 477-3602 Get Directions Write a Review

NPPES record last updated: March 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2023, Feb 23, 2021 (2 updates tracked since 2021).

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About Nnene Nchack Egbe-tambe NPPES

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

NNENE NCHACK EGBE-TAMBE (NPI 1417541194) is an individual psychiatric/mental health provider in Fort Worth, Texas, licensed in Texas (1030646) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417541194

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameNNENE NCHACK EGBE-TAMBE

Location Address5560 MESA SPRINGS DRFort Worth, TX 76123-2120

Mailing Address2656 S Loop W Ste 103Houston, TX 77054-5632 · (512) 659-2728

Phone(682) 477-3534

Fax(682) 477-3602

Sole ProprietorNo

Enumeration DateFebruary 23, 2021

Last NPPES UpdateMarch 4, 20232 updates tracked since enumeration

NPPES CertifiedMarch 4, 2023

✔ NPI 1417541194 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 · 1030646

5560 MESA SPRINGS DR, Fort Worth, TX 76123

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12656 S Loop W Ste 103Houston, TX 77054-5632 · Phone (512) 659-2728

Location 24935 S Collins StArlington, TX 76018-1191 · Phone (682) 477-3534 · Fax (682) 477-3602

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nnene Nchack Egbe-tambe 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.

Medicare Billing Reassignments

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

Sai Vittala PLLC

Same address

Psychiatry

5560 MESA SPRINGS DR
Fort Worth, TX 76123

Reassigned Medicare billing, Texas enrollment
3 clinicians in this Medicare group

NPI 1497134332 (817) 292-4600

Leanonme Group LLC

27 mi

Psychiatric/Mental Health

318 W BELT LINE RD STE 304
Cedar Hill, TX 75104

Reassigned Medicare billing, Texas enrollment
3 clinicians in this Medicare group

NPI 1043776834 (972) 972-4767

A-V Support Services

222 mi

Clinical

4302 FIRST VIEW DR
San Antonio, TX 78217

Reassigned Medicare billing, Texas enrollment
4 clinicians in this Medicare group

NPI 1699382663 (210) 837-7735

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

61 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76123 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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 14

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

RAMAKRISHNA VELURI M.D

Psychiatry & Neurology (Psychiatry)