John Ikechukwu Nwabugwu, PHMNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

7877 Issued in MN

Practice address

9655 Schmidt Lake Rd Ste 150
Plymouth, MN 55442-4507

Phone

(507) 282-0724

NPI assigned

Nov 19, 2020

Last updated

Feb 27, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Plymouth Psych Group LLCGroup PAC ID 6800103490, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Plymouth Psych Group, LLC

  • Mental Health Counselor
  • Plymouth, MN
  • NPI 1003195942
  Medicare reassignment Care Compare group NPD
• Wisconsin Lutheran Child and Family Service Inc

  dba Christian Family Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Germantown, WI
  • NPI 1083786628

  MN

  Medicare reassignment NPD
• Serene Mental Health Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
  • NPI 1194665166
  NPD (past) Authorized official
• Wisconsin Lutheran Child &Family Service, Inc.

  dba Christian Family Solutions

  • Clinical Psychologist
  • New Ulm, MN
  • NPI 1811475999
  NPD
• Wisconsin Lutheran Child & Family Service

  dba Christian Family Counseling

  • Psychologist
  • Mankato, MN
  • NPI 1801271515
  NPD (past)

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1215530571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3182 CLEVELAND AVE N",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551123505",
            "telephone_number": "651-332-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 SCHMIDT LAKE RD STE 150",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554424507",
            "telephone_number": "507-282-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWABUGWU",
        "first_name": "JOHN",
        "middle_name": "IKECHUKWU",
        "credential": "PHMNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-19",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "7877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers, Inc. (Sound Point Audiology)
• Northstar Radiology Corporation PA
• Northwoods Dental
• Michael Notkin
• Novacare Outpatient Rehabilitation East, Inc. (NovaCare Rehabilitation)
• Ogbonnaya I Nwankwo
• Faith Nyaenya
• Sumo Promise Nyandibo
• David Nyamari Nyaosi, PRESIDENT
• Martholine Nyonue

• Psychiatric/Mental Health Nurse Practitioner in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.