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DOROTHY NJIDEKA NWANNE PMHNP
NPI 1952079634
Nurse Practitioner - Psychiatric/Mental Health in Rockwall, TX

Active since August 30, 2021PECOS Enrolled
81.16/100
CMS Quality Rating
2845 CLEAR CREEK DR, ROCKWALL, TX 75032(469) 257-3500 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2025, May 20, 2025, Mar 2, 2022 (3 updates tracked since 2022).

About Dorothy Njideka Nwanne Pmhnp NPPES

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

DOROTHY NJIDEKA NWANNE PMHNP (NPI 1952079634) is an individual psychiatric/mental health provider in Rockwall, Texas, licensed in Texas (1052612) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1952079634
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDOROTHY NJIDEKA NWANNECredential: PMHNP
Location Address2845 CLEAR CREEK DRRockwall, TX 75032-9249
Mailing Address2845 Clear Creek DrRockwall, TX 75032-9249 · (469) 257-3500
Phone(469) 257-3500
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 30, 2021
Last NPPES UpdateNovember 7, 20253 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1952079634 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 · 1052612
2845 CLEAR CREEK DR, Rockwall, TX 75032
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dorothy Njideka Nwanne Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486694460
PECOS Enrollment IDI20220330001549
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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
139 services69 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
71 services23 patients
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.
40 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75032 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.05
Promoting Interoperability49
Improvement Activities40
Cost100

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 Dorothy Nwanne's NPI number?

The NPI number for Dorothy Nwanne is 1952079634. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Where is Dorothy Nwanne located?

Dorothy Nwanne practices at 2845 Clear Creek Dr, Rockwall, TX 75032. The listed phone number is (469) 257-3500.

What is Dorothy Nwanne's specialty?

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

Is Dorothy Nwanne enrolled in Medicare?

Yes. Dorothy Nwanne is registered in the Medicare PECOS enrollment system.

What insurance does Dorothy Nwanne accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Dorothy Nwanne 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 Dorothy Nwanne was last updated on November 7, 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.