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CLARA IFEYINWA ODILI NP
NPI 1669217964
Nurse Practitioner - Family in Fort Worth, TX

Active since June 27, 2024PECOS Enrolled
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-3100(817) 702-2140 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 28, 2026, Jun 27, 2024 (2 updates tracked since 2024).

About Clara Ifeyinwa Odili Np NPPES

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

CLARA IFEYINWA ODILI NP (NPI 1669217964) is an individual family provider in Fort Worth, Texas, licensed in Texas (1159620) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Allen.

NPPES Registry Identity

NPI1669217964
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCLARA IFEYINWA ODILICredential: NP
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address200 W Magnolia Ave Ste 201Fort Worth, TX 76104-7657 · (817) 702-1100 · Fax (817) 702-2140
Phone(817) 702-3100
Fax(817) 702-2140
Sole ProprietorNo
Enumeration DateJune 27, 2024
Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1669217964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1159620
1500 S MAIN ST, Fort Worth, TX 76104
Open in Google Maps ↗

Secondary Practice Location 1

Location 1596 E Stacy RdAllen, TX 75002-8763 · Phone (817) 726-6122

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clara Ifeyinwa Odili Np 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

4

Medicare enrollment records show Clara Odili reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Acclaim Physician Group, Inc
1.1 mi
Internal Medicine
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 985 clinicians in this Medicare group
NPI 1780076562 (817) 702-6770
Total Point - Desoto LLC
116 mi
Family Medicine
3405 S MAIN ST
Lindale, TX 75771
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
NPI 1104590330 (469) 607-8448
Doctors Express Of The Beaumont Area PA
261 mi
Urgent Care
3195 DOWLEN RD STE 105
Beaumont, TX 77706
  • Reassigned Medicare billing, Texas enrollment
  • 351 clinicians in this Medicare group
NPI 1841525235 (409) 860-1888
Dhhs Phs Naihs Chinle Comprehensive Health Care Facility
724 mi
General Acute Care Hospital
NAVAJO ROUTE 64
Tsaile, AZ 86556
  • Reassigned Medicare billing, Texas enrollment
  • 476 clinicians in this Medicare group
NPI 1538185715 (928) 724-3600

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 76104 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 20

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

JONATHAN A LAZARINI MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (903) 353-2265
ALLYSON EVANS
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (801) 792-5267
DR. TREVOR A JOHNSON MD
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Tarrant County (817) 702-3431
DR. LELIA ERRETT WILLIAMS MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1244
MITCHELL JOHNSON
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1100
RIDDHI RANE MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-6500
DR. JOANE BAUMER M.D.
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Tarrant County (817) 335-1034
SHARYL WORKMAN PA
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 927-1100

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 Clara Odili's NPI number?

The NPI number for Clara Odili is 1669217964. It was assigned to this individual provider in the NPPES registry on June 27, 2024.

Where is Clara Odili located?

Clara Odili practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-3100.

What is Clara Odili's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Clara Odili enrolled in Medicare?

Yes. Clara Odili is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Clara Odili's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clara Odili reassigns Medicare benefits to 4 organizations: Acclaim Physician Group, Inc (Fort Worth, TX), Total Point - Desoto LLC (Lindale, TX), Doctors Express Of The Beaumont Area PA (Beaumont, TX) and Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Tsaile, AZ). Each 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 Clara Odili's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clara Odili accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare, Oscar Insurance Company and WellPoint list Clara Odili 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 Clara Odili was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.