Individual provider Active NPI

Chinelo Pearl Nwaogbo, NP-C

  • Family Nurse Practitioner
  • Gardnerville, NV
National Provider Identifier
1275033391
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09171310 Issued in AL
Practice address
1559 Watasheamu Rd
Gardnerville, NV 89460-7455
Phone
(775) 265-8622
Fax
(775) 265-6071
NPI assigned
Feb 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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 F09171310 AL Primary

Addresses

Primary practice location

1559 Watasheamu Rd
Gardnerville, NV 89460-7455

Mailing address

1559 Watasheamu Rd
Gardnerville, NV 89460-7455
Phone (775) 265-8622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181002001109 TX Practitioner - Nurse Practitioner 8628329604 Reassigns benefits to 1 organization
I20220812000671 NV Practitioner - Nurse Practitioner 8628329604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1559 Watasheamu Rd
Washoe Tribal Health Center
Gardnerville, NV 89460-7455
Phone (775) 265-8622

Merit-based Incentive Payment System (MIPS)

Final score
73.59 of 100Reported as group
Quality
72.02
Promoting interoperability
24
Improvement activities
40
Cost
86.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09171310ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SNF Wound Care CurrentSince Jun 1, 2022 Accepting new patients

Locations

2350 Ione Rd
Las Vegas, NV 89183
Phone (702) 339-7149

Interoperability endpoints

  • Direct secure messaging: cnwaogbo710656@direct.ochin.org
  • Direct secure messaging: chinelo.nwaogbo@direct.wthc.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1275033391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 WATASHEAMU RD",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894607455",
            "telephone_number": "775-265-8622",
            "fax_number": "775-265-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 WATASHEAMU RD",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894607455",
            "telephone_number": "775-265-8622",
            "fax_number": "775-265-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAOGBO",
        "first_name": "CHINELO",
        "middle_name": "PEARL",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F09171310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

Verify at the official NPI Registry.