Individual provider Active NPI

Gloria Nwamaka Nwigwe, FNP

  • Family Nurse Practitioner
  • Lancaster, CA
National Provider Identifier
1265142806
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023221 Issued in CA
Practice address
44151 15TH St W Ste 201
Lancaster, CA 93534-4079
Phone
(661) 674-3300
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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 95023221 CA Primary

Addresses

Primary practice location

44151 15TH St W Ste 201
Lancaster, CA 93534-4079

Mailing address

44151 15TH St W Ste 201
Lancaster, CA 93534-4079
Phone (661) 674-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230517002736 CA Practitioner - Nurse Practitioner 9436515442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Medical Center TehachapiGroup PAC ID 1456646629, 56 clinicians

Practice addresses (Care Compare)

2041 Belshaw St
Mojave, CA 93501-1601
Phone (661) 824-4511

Hospital & facility affiliations

  • Adventist Health Tehachapi Valley Hospital, Tehachapi, CA, CCN 051301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Medical Center Tehachapi Current Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince May 1, 2023 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince May 1, 2023 Accepting new patients
Optimal Hospice, Inc. PastSince Jan 1, 2023 Accepting new patients
Optimal Hospice, Inc. PastSince Jan 1, 2023 Accepting new patients

Locations

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

2041 Belshaw St
Mojave, CA 93501
Phone (661) 824-4511

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

105 W E St
Tehachapi, CA 93561
Phone (661) 823-7070

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1265142806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44151 15TH ST W STE 201",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344079",
            "telephone_number": "661-674-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44151 15TH ST W STE 201",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344079",
            "telephone_number": "661-674-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWIGWE",
        "first_name": "GLORIA",
        "middle_name": "NWAMAKA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.