Catherine Nwosu

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209021370 Issued in IL

Practice address

3455 Holiday Dr Apt 10
Rockford, IL 61109-2489

Phone

(313) 623-2628

NPI assigned

Aug 31, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Partnership of IllinoisGroup PAC ID 6901053511, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Community Health Partnership of Illinois

  • Federally Qualified Health Center (FQHC)
  • Aurora, IL
  • NPI 1932375169
  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment NPD
• Community Health Partnership of Illinois

  • Federally Qualified Health Center (FQHC)
  • Princeville, IL
  • NPI 1336767540
  NPD
• Community Health Partnership of Illinois

  • Federally Qualified Health Center (FQHC)
  • Harvard, IL
  • NPI 1770821670
  NPD
• Community Health Partnership of Illinois

  • Federally Qualified Health Center (FQHC)
  • Mendota, IL
  • NPI 1093981367
  NPD (past)

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1124632922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 HOLIDAY DR APT 10",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611092489",
            "telephone_number": "313-623-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 HOLIDAY DR APT 10",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611092489",
            "telephone_number": "313-623-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOSU",
        "first_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "N/A",
            "address_1": "3455 Holiday Dr Apt 10",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611092489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maya Novik
• Mary E Novotny
• Gregory G Nowak, MD
• Magdalena Nowak, MD
• Chijindu Nnaemeka Nwakama, MD
• Rebecca J Nygren, P.T., D.P.T.
• Scott R Nyquist, MD
• John Andrew O'Brien, DDS
• Kaitlyn O'Brien, LPC
• Heather Marie O'Connor

• Family Nurse Practitioner in Rockford, IL
• Providers in Rockford, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.