MODESTA OBIAGELI ONYIA (FNP) – Family Nurse Practitioner, NPI 1013340520

MODESTA OBIAGELI ONYIA (FNP) is a healthcare provider. based in Georgetown, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 679518 (TX). The NPI Number for MODESTA OBIAGELI ONYIA (FNP) is 1013340520

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MODESTA OBIAGELI ONYIA (FNP)
NPI
1013340520
Phone
(512) 868-9078
Address
205 E UNIVERSITY AVE
Enumeration Date
20 August 2013
Last Update Date
20 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5168540101
Graduation Year
2024 (2 years ago)
PAC ID
7416986914
Group Practice PAC ID
8628433414
Professional Enrollment ID
I20241125002768
Address ID
NY115508116HE230XXAVEX311
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MODESTA OBIAGELI ONYIA (FNP)

  • 205 E UNIVERSITY AVE

    SUITE 157

    GEORGETOWN, TX 786266814

    Phone: (512) 868-9078

    Fax: (512) 819-0646

    Type: Location

  • 1913 MESA CT

    GARLAND, TX 750408289

    Phone: (214) 629-9639

    Fax: (972) 278-4606

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-11-25

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
I20241125002768INurse PractitionerNYTBD

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 78626)

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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: 8628433414View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How is MODESTA OBIAGELI ONYIA (FNP) identified in CMS data?
CMS-hosted NPPES data lists MODESTA OBIAGELI ONYIA (FNP) with NPI 1013340520.
Does the file indicate MODESTA OBIAGELI ONYIA (FNP) is practicing under active NPI?
Directory data currently reports MODESTA OBIAGELI ONYIA (FNP) as active.
What is MODESTA OBIAGELI ONYIA (FNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for MODESTA OBIAGELI ONYIA (FNP) here. Clinical services aligned with this taxonomy classification.
What area does MODESTA OBIAGELI ONYIA (FNP) serve?
MODESTA OBIAGELI ONYIA (FNP)'s listing highlights Georgetown, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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