Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mr. Washington Odhiambo Mitema, FNP

Individual provider Family Nurse Practitioner · NPI 1154709798

Mr. Washington Odhiambo Mitema, FNP is a Nurse Practitioner in Roanoke, Texas. Qualified in 2014, 12 years ago. Practices with Pine Ridge Indian Health Service Hospital, a 104-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1305 US-377 Hwy
Roanoke, TX 76262
Phone: (682) 831-1923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2716 Cedar Ridge Ln, Fort Worth, TX 76177-2111 — (682) 234-0660

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 724406 (TX)

Record details

NPI number1154709798
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 15, 2015
Last updated in NPPESJuly 2, 2023
Certification dateJuly 2, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Pine Ridge Indian Health Service Hospital — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients37
Services billed 64 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Pine Ridge Indian Health Service Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 104 clinicians in the practice; 12 are shown here.

Other providers in Roanoke