Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tyra Onyedumekwu, AG-ACNP

Individual provider Adult Health Nurse Practitioner · NPI 1831769447

Tyra Onyedumekwu, AG-ACNP is a Nurse Practitioner in Kettering, Ohio. Qualified in 2019, 7 years ago. Practices with Hisey Physician Services, LLC, a 57-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

3533 Southern Blvd Ste 5200
Kettering, OH 45429-1275
Phone: (937) 643-9299
Fax: (937) 439-6189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.0028809 (OH)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN.CNP.0028809 (OH)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence APRN.CNP.0028809 (OH)

Record details

NPI number1831769447
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorYes
NPI enumeratedJune 26, 2021
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Hisey Physician Services, Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kettering