DORINE OWEKE OWALLA – Psychiatric/Mental Health Nurse Practitioner, NPI 1780277269

DORINE OWEKE OWALLA is a healthcare provider. based in Fort worth, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 780817 (TX). The NPI Number for DORINE OWEKE OWALLA is 1780277269

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DORINE OWEKE OWALLA
NPI
1780277269
Phone
(817) 449-3005
Address
9812 AMARANTH DR
Enumeration Date
16 February 2021
Last Update Date
16 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8172006680
Graduation Year
2019 (7 years ago)
PAC ID
9537547187
Group Practice PAC ID
6709950314
Professional Enrollment ID
I20220609002399
Address ID
TX760174447AR5901XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for DORINE OWEKE OWALLA

  • 9812 AMARANTH DR

    FORT WORTH, TX 761773217

    Phone: (817) 449-3005

    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)

CMS reports 236 Open Payments records for all available years, with a total value of $4,274.

Total Amount is formed as General ($4,274) + Research ($0) + Ownership ($0) = $4,274.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($927).

Total Amount

$4,274

General + Research + Ownership

Payments

236

Total payment records

General Amount

$4,274

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2022-06-09

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
I20220609002399INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes17267$0
View full utilization report →

Insurance plans in this area (ZIP 76177)

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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: 6709950314View full group profile
NameSpecialtyState
P S Y C H I A T R YOK
Psychiatry, Addiction MedicineTX

Reviews

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Frequently asked questions

What unique ID ties claims to DORINE OWEKE OWALLA?
NPI 1780277269 is assigned to DORINE OWEKE OWALLA under the national enumeration system.
Does this profile mean DORINE OWEKE OWALLA is currently active?
Yes — DORINE OWEKE OWALLA appears active in the national provider directory.
What does DORINE OWEKE OWALLA treat or focus on?
Patients typically see DORINE OWEKE OWALLA under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place DORINE OWEKE OWALLA?
The snapshot lists Fort Worth, Texas for DORINE OWEKE OWALLA; download NPPES for the complete set.
What if Fort Worth, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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