Jessy A Nwuba, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024184767 Issued in VA

Practice address

3611 Boulevard
Colonial Heights, VA 23834-1344

Phone

(571) 523-5479

Fax

(804) 374-8889

NPI assigned

Aug 2, 2022

Last updated

Apr 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Balance Behavioral Health PLLCGroup PAC ID 8022333210, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessy.nwuba@krogerhealth.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balance Behavioral Health, PLLC

  • Clinical Psychologist
  • Midlothian, VA
  • NPI 1912338914

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• JC Health Group PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Midlothian, VA
  • NPI 1679271357

  Family, MD

  Medicare reassignment NPD Authorized official
• Little Clinic of VA LLC

  • Family Nurse Practitioner
  • Henrico, VA
  • NPI 1225440076
  Medicare reassignment NPD
• Bethel Skilled Health Care LLC

  dba Bethel Skilled Home Care LLC

  • Primary Care Nurse Practitioner
  • Midlothian, VA
  • NPI 1003439472
  NPD Authorized official
• Ephratah Health Group LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Henrico, VA
  • NPI 1740057751
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680307200000",
    "number": "1003543984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 BOULEVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341344",
            "telephone_number": "571-523-5479",
            "fax_number": "804-374-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 BOULEVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341344",
            "telephone_number": "571-523-5479",
            "fax_number": "804-374-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWUBA",
        "first_name": "JESSY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "350991",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2376097",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC004987",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184767",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024184767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kareem T Niazi, MD
• Rebecca Norton, MSW
• Rekha Nugaram, M.D.,
• Victor Toochukwu Nwagwu
• Ugonma Christiana Nwaohuocha, O.D
• Stephanie S O'Connor, NP
• Aida Ong Obusan, MD,FAAP
• Noel Feminella Ockaili, PHARM.D.
• Ellen Rives Oertel, D.D.S., M.S.
• Onyinyechukwu Okoli, APRN

• Family Nurse Practitioner in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.