IndividualActiveAccepts Medicare

Victoria Obianwu

NPI 1124708078 · Nurse Practitioner · Jacksonville, TX

Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1124708078
Entity type: Individual
Primary specialty: Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Sex: Female
Sole proprietor: No
License: 1129635 (TX)

Specialties & taxonomies

Nurse PractitionerPrimary363L00000XLicense 1129635 (TX)
Physician Assistants & Advanced Practice Nursing Providers
Family Nurse Practitioner363LF0000XLicense 1129635 (TX)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(67/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
4 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.

Drug	Part D claims (2024)	Beneficiaries
Methylprednisolone	48	48
Azithromycin	47	47
Prednisone	46	45
Doxycycline Hyclate	28	27
Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass	17	17
Albuterol Sulfatebrand: Albuterol Sulfate Hfa	17	16
Ciprofloxacin Hcl	16	14

Practice location

1602 S Jackson St

Jacksonville, TX 75766-3028

Phone: (430) 205-4150

Street-level locationGet directions

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Mailing address