Individual provider Active NPI

Chinonye Okeke

  • Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1083209688
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2318605 Issued in MA
Practice address
1285 Belmont St Ste 1
Brockton, MA 02301-4440
Phone
(508) 894-7015
Fax
(508) 794-7861
NPI assigned
Mar 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN2318605 MA
Nurse Practitioner 363L00000X RN2318605 MA Primary

Addresses

Primary practice location

1285 Belmont St Ste 1
Brockton, MA 02301-4440

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240503001815 MA Practitioner - Nurse Practitioner 3779923081 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carecentral Urgent Care Medical Group PCGroup PAC ID 5496907099, 23 clinicians
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

233 Broad St
Bridgewater, MA 02324-1741
Phone (781) 341-2800

245 Hartford Ave
Bellingham, MA 02019-3007
Phone (774) 295-4355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2318605MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC Current Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Mar 18, 2025 Accepting new patients
Carecentral Urgent Care Medical Group PC CurrentSince Mar 19, 2024 Accepting new patients
Carecentral Urgent Care Medical Group PC CurrentSince Mar 19, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Feb 1, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Mar 18, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

233 Broad St
Bridgewater, MA 02324
Phone (508) 697-2564

1285 Belmont St
Ste 1
Brockton, MA 02301
Phone (508) 894-7015

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

286 Washington St
Stoughton, MA 02072
Phone (781) 341-2800

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1083209688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 BELMONT ST STE 1",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014440",
            "telephone_number": "508-894-7015",
            "fax_number": "508-794-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEKE",
        "first_name": "CHINONYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MA",
            "license": "RN2318605",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2318605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.