Individual provider Active NPI

Ogechi Aririguzo, DNP, FNP-BC

  • Family Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1063263440
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704349940 Issued in MI
Practice address
4070 Lake Dr SE Ste 101
Grand Rapids, MI 49546-8294
Phone
(616) 455-4114
NPI assigned
Apr 1, 2024
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704349940 MI Primary

Addresses

Primary practice location

4070 Lake Dr SE Ste 101
Grand Rapids, MI 49546-8294

Mailing address

4070 Lake Dr SE Ste 101
Grand Rapids, MI 49546-8294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250130002664 MI Practitioner - Nurse Practitioner 5890224117 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Michigan State University College of Human Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Urgent Care Walk in Clinic JacksonGroup PAC ID 5395102545, 3 clinicians
Plymouth Urgent Care Walk-in Clinic LLCGroup PAC ID 6709133135, 6 clinicians

Practice addresses (Care Compare)

1055 Laurence Ave
Jackson, MI 49202-2964
Phone (517) 273-4343

1498 S Sheldon Rd
Plymouth, MI 48170-2140
Phone (734) 927-5335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Urgent Care Walk in Clinic Jackson CurrentSince Nov 16, 2024 Accepting new patients
Doctors Primary Care Clinic CurrentSince Feb 2, 2026 Accepting new patients
Plymouth Urgent Care Walk-in Clinic LLC CurrentSince Jan 7, 2025 Accepting new patients

Locations

1055 Laurence Ave
Jackson, MI 49202
Phone (517) 273-4343

1498 S Sheldon Rd
Plymouth, MI 48170
Phone (734) 890-4627

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1063263440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 LAKE DR SE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 LAKE DR SE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468294",
            "telephone_number": "616-455-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIRIGUZO",
        "first_name": "OGECHI",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704349940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.