ERIC C ANIEKWENA – Psychiatric/Mental Health Nurse Practitioner, NPI 1063166601

ERIC C ANIEKWENA is a healthcare provider. based in San antonio, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP61524815 (WA). The NPI Number for ERIC C ANIEKWENA is 1063166601

Main info

Male
Sole Proprietor
5 Years Of Experience
Name
ERIC C ANIEKWENA
NPI
1063166601
Phone
Not provided
Address
9722 GREEN PLAIN DR
Enumeration Date
11 February 2022
Last Update Date
26 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2109901142
Graduation Year
2021 (5 years ago)
PAC ID
5193111268
Group Practice PAC ID
5890078042
Professional Enrollment ID
I20220330001192
Address ID
TX782293915SA8026XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ERIC C ANIEKWENA

  • 9722 GREEN PLAIN DR

    SAN ANTONIO, TX 782453069

    Phone:

    Type: Mailing

  • 8026 Floyd Curl Dr

    San Antonio, TX 782293915

    Phone: (210) 990-1143

    Fax: (509) 209-8857

    Type: Location

  • 3510 Steelhammer Dr

    Centralia, WA 985311532

    Phone: (360) 623-8020

    Fax: (360) 623-1072

    Type: Location

  • 311 CAMDEN ST STE 510

    SAN ANTONIO, TX 782152015

    Phone: (210) 591-1640

    Type: Location

  • 2624 N DIVISION ST # 1024

    SPOKANE, WA 992072129

    Phone: (509) 209-8854

    Fax: (509) 209-8857

    Type: Mailing

  • 707 W MAIN AVE STE B1

    SPOKANE, WA 992010631

    Phone: (509) 209-8854

    Fax: (509) 209-8857

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-10-17 • Largest payer in this snapshot: ITI, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ITI, Inc.$17
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: 2024-12-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220330001192INurse PractitionerTXTBD
I20241226001425INurse PractitionerWATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2516$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 78245)

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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: 5890078042View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm ERIC C ANIEKWENA's NPI?
Yes. ERIC C ANIEKWENA is listed with NPI 1063166601 in the public NPI dataset.
Does the file indicate ERIC C ANIEKWENA is practicing under active NPI?
Directory data currently reports ERIC C ANIEKWENA as active.
What taxonomy line describes ERIC C ANIEKWENA?
For research purposes, treat ERIC C ANIEKWENA as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does ERIC C ANIEKWENA serve?
ERIC C ANIEKWENA's listing highlights San Antonio, Texas; more addresses can appear in NPPES.
Is the information about ERIC C ANIEKWENA up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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