Individual provider Active NPI

Nkechi Pauline Onyeukwu, RN MSN FNP

  • Nurse Practitioner
  • Gary, IN
National Provider Identifier
1023031978
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001533A Issued in IN
Practice address
3814 Grant Street
Gary, IN 46408
Phone
(219) 884-3447
Fax
(219) 884-3512
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001533A IN Primary
Family Nurse Practitioner 363LF0000X 209.007219 IL

Addresses

Primary practice location

3814 Grant Street
Gary, IN 46408

Mailing address

3814 Grant Street
Gary, IN 46408
Phone (219) 884-3447

Other identifiers 1

IdentifierTypeStateIssuer
200423230AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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

Enrollment IDStateProvider typePAC IDDetails
I20081229000616 IL Practitioner - Nurse Practitioner 5890697726 Reassigns benefits to 4 organizations
I20100723000349 IN Practitioner - Nurse Practitioner 5890697726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians
Midwest Post Acute Care Aco PLLCGroup PAC ID 2961804976, 25 clinicians

Practice addresses (Care Compare)

4410 W 49TH Ave
Hobart, IN 46342-3744
Phone (888) 705-8722

650 N Kinzie Ave
Bradley, IL 60915-1227
Phone (815) 933-1666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209.007219ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care Aco PLLC Nurse Practitioner CurrentSince Sep 1, 2024 Accepting new patients
Midwest Post Acute Care PLLC Nurse Practitioner CurrentSince Mar 16, 2022 Accepting new patients
Sound Physicians of Illinois, LLC CurrentSince Jan 1, 2023 Accepting new patients
Home Physicians PC Past Accepting new patients
Northwest Procedures & Medical Center PC Past Accepting new patients
Northwest Procedures Medical Center and Immediate Care Centers Past Accepting new patients

Locations

650 N Bradley Blvd
Bradley, IL 60915

716 18th St
Charleston, IL 61920
Phone (217) 345-7054

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

1 Park Ln W
Clinton, IL 61727
Phone (217) 935-8500

940 Maple Rd
Homewood, IL 60430
Phone (708) 799-0244

16000 Wabash Ave
South Holland, IL 60473
Phone (219) 769-9009

4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279

1750 S Creasy Ln
Lafayette, IN 47905
Phone (765) 447-6600

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1023031978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 GRANT STREET",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46408",
            "telephone_number": "219-884-3447",
            "fax_number": "219-884-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 GRANT STREET",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46408",
            "telephone_number": "219-884-3447",
            "fax_number": "219-884-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEUKWU",
        "first_name": "NKECHI",
        "middle_name": "PAULINE",
        "name_prefix": "Mrs.",
        "credential": "RN MSN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001533A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.007219",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200423230A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.