MAGDALENE OBAROGHEDO – Family Nurse Practitioner, NPI 1417404526

MAGDALENE OBAROGHEDO is a healthcare provider. based in Mesquite, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1072194 (TX). The NPI Number for MAGDALENE OBAROGHEDO is 1417404526

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MAGDALENE OBAROGHEDO
NPI
1417404526
Phone
(972) 489-8231
Address
3306 RIVERWAY CT
Enumeration Date
7 September 2016
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9099440486
Graduation Year
2019 (7 years ago)
PAC ID
1052608361
Group Practice PAC ID
1153836192
Professional Enrollment ID
I20221102001624
Address ID
TX770422754HO2500XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for MAGDALENE OBAROGHEDO

  • 3306, Riverway Court, Mesquite, Dallas County, Texas, 75181, United States

    MESQUITE, TX 751814298

    Phone: (972) 489-8231

    Fax: (972) 222-2019

    Mailing address matches the actual address.

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: 2022-11-02

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
I20221102001624INurse 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.

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

Insurance plans in this area (ZIP 75181)

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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: 1153836192View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does MAGDALENE OBAROGHEDO share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MAGDALENE OBAROGHEDO uses 1417404526.
Does CMS list MAGDALENE OBAROGHEDO as active?
Yes — MAGDALENE OBAROGHEDO is active in the NPI listing used on this page.
What is MAGDALENE OBAROGHEDO best known for clinically?
Directory data describes MAGDALENE OBAROGHEDO with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MAGDALENE OBAROGHEDO based?
MAGDALENE OBAROGHEDO is tied to Mesquite, Texas in the data we show; additional addresses may exist on the full record.
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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