DR. NGUFOR FUBE DIVINE CRNP-PMH
NPI 1669197208
Nurse Practitioner - Psychiatric/Mental Health in Fort Sam Houston, TX

Q: What is Ngufor Fube Divine's NPI number?

The NPI number for Ngufor Fube Divine is 1669197208. It was assigned to this individual provider in the NPPES registry on October 6, 2022.

Q: What is Ngufor Fube Divine's specialty?

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

Active since October 06, 2022PECOS EnrolledAccepts Medicare Assignment

3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(210) 808-1859 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2025, Jul 26, 2024, Oct 14, 2022 and 1 more (4 updates tracked since 2022).

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About Dr. Ngufor Fube Divine Crnp-pmh NPPES

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

DR. NGUFOR FUBE DIVINE CRNP-PMH (NPI 1669197208) is an individual psychiatric/mental health provider in Fort Sam Houston, Texas, licensed in Maryland (R241388) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669197208

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. NGUFOR FUBE DIVINECredential: CRNP-PMH

Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504

Mailing Address9001 Harford RdParkville, MD 21234-4029 · (410) 870-1590 · Fax (443) 558-7706

Phone(210) 808-1859

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 6, 2022

Last NPPES UpdateNovember 19, 20254 updates tracked since enumeration

NPPES CertifiedNovember 19, 2025

✔ NPI 1669197208 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 MD · R241388

3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234

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Secondary Practice Locations 3

Location 18210 Jeremiah LnColumbia, MD 21044-4165 · Phone (240) 423-8757 · Fax (301) 368-6675

Location 28713 Harford Rd Ste 102Parkville, MD 21234-4650 · Phone (443) 230-2285 · Fax (301) 368-6675

Location 39001 Harford RdParkville, MD 21234-4029 · Phone (240) 423-8757

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Dr. Ngufor Fube Divine Crnp-pmh 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 ID1557767688

PECOS Enrollment IDI20221209000420

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.

Areas of Expertise CMS Part B claims 2

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.

26 services14 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78234 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

JANET JONES SIMS CRNA

Nurse Anesthetist, Certified Registered

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (253) 223-6272

JAMES KENNEDY HARDIN PA-C

Physician Assistant

3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234

Bexar County (210) 295-4996

DR. DANIEL VICTOR-CALVIN HAMMOND M.D.

Pediatrics (Pediatric Endocrinology)

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 916-3020

JESSICA FULLER LCSW

Social Worker (Clinical)

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 808-1859

DR. JASON ROBERT HALL M.D.

Neurological Surgery

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 539-9582

MRS. KATHRYN ELAINE HELLAND LCSW

Social Worker (Clinical)

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 539-9582

DR. HALWARD BLEGEN IV DO

Ophthalmology

3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234

Bexar County (210) 220-7419

KOLE HOLLAND SPAULDING M.D.

Emergency Medicine (Emergency Medical Services)

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 539-9582

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 Ngufor Fube Divine's NPI number?

The NPI number for Ngufor Fube Divine is 1669197208. It was assigned to this individual provider in the NPPES registry on October 6, 2022.

Where is Ngufor Fube Divine located?

Ngufor Fube Divine practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 808-1859.

What is Ngufor Fube Divine's specialty?

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

Is Ngufor Fube Divine enrolled in Medicare?

Yes. Ngufor Fube Divine 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 Ngufor Fube Divine accept?

Health plans from Providence Health Plan list Ngufor Fube Divine 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 Ngufor Fube Divine was last updated on November 19, 2025. 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.