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

Mrs. Phillipa Ifeoma Modebelu, RN/NP

Individual provider Family Nurse Practitioner · NPI 1053647461

Mrs. Phillipa Ifeoma Modebelu, RN/NP is a Nurse Practitioner in Grapevine, Texas. Qualified in 2009, 17 years ago. Practices with Minuteclinic Primary Care Texas PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
17
Licensed in
TX
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

3701 Ira E Woods Ave
Grapevine, TX 76051-4213
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP123412 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP123412 (TX)

Record details

NPI number1053647461
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN/NP
Sole proprietorYes
NPI enumeratedOctober 20, 2009
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Minuteclinic Primary Care Texas Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grapevine