Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Chinwendu Peace Onwusor

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104649631

Mrs. Chinwendu Peace Onwusor is a Nurse Practitioner in Dallas, Texas. Qualified in 2024, 2 years ago. Practices with Kotel Atx, a 26-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
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Practice location Address checks out

411 N Washington Ave Ste 5200
Dallas, TX 75246-1778
Phone: (855) 204-2502
Fax: (817) 783-4672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6020 W Parker Rd Ste 305, Plano, TX 75093-8350 — (855) 204-2502
  • 2800 E Highway 114 Ste 350, Trophy Club, TX 76262-5309 — (855) 204-2502

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2024084929 (TX)

Record details

NPI number1104649631
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 4, 2024
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Kotel Atx — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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