MRS. EDITH LAMIRA ODIWO (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003429671

MRS. EDITH LAMIRA ODIWO (PMHNP-BC) is a healthcare provider. based in Keller, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 1010544 (TX). The NPI Number for MRS. EDITH LAMIRA ODIWO (PMHNP-BC) is 1003429671

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. EDITH LAMIRA ODIWO (PMHNP-BC)
NPI
1003429671
Phone
(512) 364-5830
Address
9908 CROSWELL ST
Enumeration Date
25 August 2020
Last Update Date
23 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7027035262
Graduation Year
2020 (6 years ago)
PAC ID
5193969707
Group Practice PAC ID
4587037718
Professional Enrollment ID
I20220325000725
Address ID
NV891287648LA8440XBLVD505
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for MRS. EDITH LAMIRA ODIWO (PMHNP-BC)

  • 9908 CROSWELL ST

    KELLER, TX 762442098

    Phone: (512) 364-5830

    Type: Location

  • 9908 Croswell St

    Keller, TX 762442098

    Phone: (512) 364-5830

    Type: Location

  • 2200 PASEO VERDE PKWY STE 190

    HENDERSON, NV 890522703

    Phone: (702) 589-4871

    Fax: (702) 589-4872

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $531.

Total Amount is formed as General ($531) + Research ($0) + Ownership ($0) = $531.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Neuronetics, Inc. ($209).

Total Amount

$531

General + Research + Ownership

Payments

12

Total payment records

General Amount

$531

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220325000725INurse PractitionerNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76244)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587037718View full group profile
NameSpecialtyState
Nurse PractitionerOR

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. EDITH LAMIRA ODIWO (PMHNP-BC)'s NPI?
Yes. MRS. EDITH LAMIRA ODIWO (PMHNP-BC) is listed with NPI 1003429671 in the public NPI dataset.
Does CMS list MRS. EDITH LAMIRA ODIWO (PMHNP-BC) as active?
Yes — MRS. EDITH LAMIRA ODIWO (PMHNP-BC) is active in the NPI listing used on this page.
What is MRS. EDITH LAMIRA ODIWO (PMHNP-BC)'s specialty?
The listing groups MRS. EDITH LAMIRA ODIWO (PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. EDITH LAMIRA ODIWO (PMHNP-BC) list a practice location?
Patients near Keller, Texas may find MRS. EDITH LAMIRA ODIWO (PMHNP-BC) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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