Individual provider Active NPI

Goodluck Chibuike Okereke, DNP

  • Family Nurse Practitioner
  • Weldon Spring, MO
National Provider Identifier
1114746575
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024038542 Issued in MO
Practice address
4801 Weldon Spring Pkwy
Weldon Spring, MO 63304-9101
Phone
(800) 345-5407
Fax
(636) 386-5386
NPI assigned
Oct 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 2024038542 MO Primary

Addresses

Primary practice location

4801 Weldon Spring Pkwy
Weldon Spring, MO 63304-9101

Mailing address

PO Box 1449
Maryland Heights, MO 63043-0449
Phone (314) 437-1557

Other names 1

  • Goodluck C Okereke Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20241119002444 MO Practitioner - Nurse Practitioner 7113452897 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Columbia School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karefirst Missouri PCGroup PAC ID 1052605383, 12 clinicians
Midwest Med Care LLCGroup PAC ID 2062832181, 7 clinicians

Practice addresses (Care Compare)

1200 Graham Rd
Florissant, MO 63031-8015
Phone (314) 838-6555

4801 Weldon Spring Pkwy
Weldon Spring, MO 63304-9101
Phone (800) 345-5407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Nov 1, 2024 Accepting new patients
Midwest Med Care LLC CurrentSince Jul 15, 2025 Accepting new patients
Provider Partners Care Management LP CurrentSince Jun 22, 2025 Accepting new patients
Cep America LLC CurrentSince Nov 1, 2024 Accepting new patients
Cep America, LLC Current Accepting new patients
Karefirst Missouri PC CurrentSince Apr 21, 2025 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1200 Graham Rd
Florissant, MO 63031
Phone (314) 383-6555

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

13230 Manchester Rd
Saint Louis, MO 63131
Phone (314) 480-5259

3403 W Mount Vernon St
Springfield, MO 65802
Phone (417) 864-5600

4801 Weldon Spring Pkwy
Weldon Spring, MO 63304
Phone (636) 441-7300

Organizations & group practices 6

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": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1114746575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630430449",
            "telephone_number": "314-437-1557",
            "fax_number": "636-386-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 WELDON SPRING PKWY",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633049101",
            "telephone_number": "800-345-5407",
            "fax_number": "636-386-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEREKE",
        "first_name": "GOODLUCK",
        "middle_name": "CHIBUIKE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-03",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024038542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GOODLUCK",
            "last_name": "OKEREKE",
            "middle_name": "C",
            "credential": "GOODLUCK OKEREKE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Weldon Spring, MO

Sources for this page

Verify at the official NPI Registry.