Ogochukwu Raphaela Nwosu, DNP, FNP-BC,PMHNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95011786 Issued in CA

Practice address

600 Alfred Nobel Dr Ste a
Hercules, CA 94547-1834

Phone

(510) 984-1103

NPI assigned

Apr 3, 2019

Last updated

Aug 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ogochukwu Raphaela Enendu Former name

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

K2 Health Care IncGroup PAC ID 1355783010, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

27.81 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

92.71

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

• K2 Health Care Inc

  • Family Nurse Practitioner
  • Vacaville, CA
  • NPI 1548903941
  Medicare reassignment Care Compare group NPD Authorized official
• Gurpreet S. Dhugga Medical Corporation

  • Internal Medicine Physician
  • Fairfield, CA
  • NPI 1053649376
  Medicare reassignment NPD
• SNF Specialists Medical Corporation

  • Internal Medicine Physician
  • Fairfield, CA
  • NPI 1497265565
  Medicare reassignment NPD

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1265994818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 BUSINESS CENTER DR STE 108",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ALFRED NOBEL DR STE A",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471834",
            "telephone_number": "510-984-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOSU",
        "first_name": "OGOCHUKWU",
        "middle_name": "RAPHAELA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC,PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011786",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95011786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OGOCHUKWU",
            "last_name": "ENENDU",
            "middle_name": "RAPHAELA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nico Care Medical Transport, LLC
• Johnathan Nilsen, RPH
• Kristine Kwan Nishi
• North Shore Dental LLC
• Jessalyn Ann Nothnagel
• Jonathan Okman, M.D.
• Alison S Olivares Guzman
• Evelina A. Olson
• Edna Opong-Mensah, RN
• Gerardo Ordonez Rodas

• Family Nurse Practitioner in Hercules, CA
• Providers in Hercules, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; 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.