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

Mrs. Ogechi Katherine Nebeolisa

Individual provider Family Nurse Practitioner · NPI 1588201891

Mrs. Ogechi Katherine Nebeolisa is a Nurse Practitioner in Kingwood, Texas. Qualified in 2021, 5 years ago. Practices with Privia Medical Group Gulf Coast PLLC, a 538-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

201 Kingwood Medical Dr Ste A450
Kingwood, TX 77339-6027
Phone: (832) 701-0283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1074742 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F11190555 (TX)

Record details

NPI number1588201891
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 5, 2019
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Privia Medical Group Gulf Coast Pllc — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kingwood