Fidelis Njok Elokobi, RN BSN
Individual provider Active NPI Family Nurse Practitioner · Clayton, OH
NPI 1154564276 · NPPES record last updated Apr 11, 2022
Key facts
- NPI
- 1154564276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F01220026 (OH)
- Practice address
- 1007 Meadowsweet Dr
Clayton, OH 45315-7718 - Phone
- (937) 837-0607
- Fax
- (937) 837-0607
- NPI assigned
- Apr 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
- First Priority Urgent Care LLC
Practice addresses (Care Compare)
5130 Salem Ave
Trotwood, OH 45426-2042
Phone (937) 529-4443
5957 Cleveland Ave
Columbus, OH 43231-2210
Phone (614) 394-8092
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220504002350 | OH | Practitioner - Nurse Practitioner | 3870764012 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-313379 | OH | MD | Registered Nurse |
| F01220026 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current |
Accepting new patients | |
| Stellar Health & Wellness Clinic LLC | Family | Current |
Accepting new patients |
| Vpa PC | Current |
Accepting new patients | |
| Harmonycares Complete Health Services, PLLC | Current |
Accepting new patients | |
| First Priority Urgent Care LLC | Current |
Accepting new patients |
Locations
5957 Cleveland Ave
Columbus, OH 43231
Phone (614) 394-8092
3033 Kettering Blvd
Ste 100
Moraine, OH 45439
Phone (937) 293-2133
5130 Salem Ave
Trotwood, OH 45426
Phone (937) 529-4443
Interoperability endpoints
- fidelis.elokobi.1@15350.direct.athenahealth.com
- fidelis.elokobi.1@31531.direct.athenahealth.com
- https://api.platform.athenahealth.com/15350/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-313379 | OH | |
| Family Nurse Practitioner | 363LF0000X | F01220026 | OH | Yes |
Addresses
Primary practice location
1007 Meadowsweet Dr
Clayton, OH 45315-7718
Mailing address
5130 Salem Ave
Trotwood, OH 45426-2042
Phone (937) 529-4443
Other providers in Clayton, OH
- Katherine L Davis
- Dayton Artificial Limb Clinic, Inc
- Dayton Artificial Limb Clinic, Inc.
- Dayton Pain Center LLC
- Dava J Derrick
- Paul Frank
- Jade Frierson
- Danyelle Hall
- Sabrina Harrison
- Carli Hart
All providers in Clayton, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.