Individual provider Active NPI

Kachi Nkonyek Nweke, NP

  • Family Nurse Practitioner
  • Mount Vernon, NY
National Provider Identifier
1245462084
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F335645-1 Issued in NY
Practice address
153 Stevens Avenue
#4
Mount Vernon, NY 10550-2543
Phone
(914) 668-8080
Fax
(914) 668-2540
NPI assigned
Aug 12, 2009
Last updated
Dec 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F335645 NY
Family Nurse Practitioner 363LF0000X F335645-1 NY Primary

Addresses

Primary practice location

153 Stevens Avenue
#4
Mount Vernon, NY 10550-2543

Mailing address

153 Stevens Avenue
#4
Mount Vernon, NY 10550-2543
Phone (914) 668-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101210000026 NY Practitioner - Nurse Practitioner 5991831265 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Mark Ilyagu Medical PCGroup PAC ID 6800272477, 7 clinicians

Practice addresses (Care Compare)

1050 E 230TH St
Bronx, NY 10466-4810
Phone (717) 716-7107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F335645NYMDFamily Nurse Practitioner
F335645-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NP Family Health Visits & NP Adult Health Visits, PLLC Family CurrentSince Dec 19, 2020 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Sep 4, 2021 Accepting new patients
Essen Medical Associates, PC CurrentSince Sep 4, 2021 Accepting new patients
Essen Medical Associates, PC CurrentSince Sep 4, 2021 Accepting new patients
Senf NP Family Medicine PLLC CurrentSince Jul 12, 2024 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Sep 4, 2021 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Sep 4, 2021 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

67 Springvale Rd
Croton on Hudson, NY 10520
Phone (914) 739-6700

11126 Corona Ave
Flushing, NY 11368
Phone (718) 592-6400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

10421 State Route 40
Ste 300
Granville, NY 12832

301 Mill Rd
Ste U5
Hewlett, NY 11557

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

101 Creekside Dr
Painted Post, NY 14870
Phone (570) 561-2982

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1245462084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 STEVENS AVENUE",
            "address_2": "#4",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502543",
            "telephone_number": "914-668-8080",
            "fax_number": "914-668-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 STEVENS AVENUE",
            "address_2": "#4",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502543",
            "telephone_number": "914-668-8080",
            "fax_number": "914-668-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWEKE",
        "first_name": "KACHI",
        "middle_name": "NKONYEK",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335645",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335645-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.