DR. NDUBUISI DAVID ODIMEGWU (AGNP-C) – Gerontology Nurse Practitioner, NPI 1043702467

DR. NDUBUISI DAVID ODIMEGWU (AGNP-C) is a healthcare provider. based in Missouri city, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. AP137648 (TX). The NPI Number for DR. NDUBUISI DAVID ODIMEGWU (AGNP-C) is 1043702467

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. NDUBUISI DAVID ODIMEGWU (AGNP-C)
NPI
1043702467
Phone
(651) 353-9736
Address
1934 PLUM CREEK LN
Enumeration Date
1 June 2018
Last Update Date
11 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3462232195
Graduation Year
2017 (9 years ago)
PAC ID
4688816325
Professional Enrollment ID
I20191010002827
Address ID
TX770533536HO5530XDRXX401

Contacts

SOAP Endpoint
Practicefusion
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for DR. NDUBUISI DAVID ODIMEGWU (AGNP-C)

  • 1934, Plum Creek Lane, Missouri City, Fort Bend County, Texas, 77489, United States

    MISSOURI CITY, TX 77489

    Phone: (651) 353-9736

    Type: Location

  • 5530 W RIDGECREEK DR STE 250

    HOUSTON, TX 770533536

    Phone: (346) 223-2195

    Fax: (346) 998-1550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $560.

Total Amount is formed as General ($560) + Research ($0) + Ownership ($0) = $560.

Last reported payment date: 2024-08-09 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($503).

Total Amount

$560

General + Research + Ownership

Payments

14

Total payment records

General Amount

$560

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-10-10

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
I20191010002827INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes22648$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes10443$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes5555$0
View full utilization report →

Insurance plans in this area (ZIP 77489)

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Reviews

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Frequently asked questions

How is DR. NDUBUISI DAVID ODIMEGWU (AGNP-C) identified in CMS data?
CMS-hosted NPPES data lists DR. NDUBUISI DAVID ODIMEGWU (AGNP-C) with NPI 1043702467.
Does the file indicate DR. NDUBUISI DAVID ODIMEGWU (AGNP-C) is practicing under active NPI?
Directory data currently reports DR. NDUBUISI DAVID ODIMEGWU (AGNP-C) as active.
What taxonomy line describes DR. NDUBUISI DAVID ODIMEGWU (AGNP-C)?
For research purposes, treat DR. NDUBUISI DAVID ODIMEGWU (AGNP-C) as Gerontology Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. NDUBUISI DAVID ODIMEGWU (AGNP-C) based?
DR. NDUBUISI DAVID ODIMEGWU (AGNP-C) is tied to Missouri City, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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