Azubike Nwokedi, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71006064A Issued in IN

Practice address

112 W Jefferson Blvd
Ste 600
South Bend, IN 46601-1923

Phone

(574) 546-1900

Fax

(574) 546-1999

NPI assigned

Feb 9, 2016

Last updated

Feb 9, 2016By 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 IN

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CNP Operating Co LLCGroup PAC ID 8325263734, 63 clinicians

Sycamore Springs Physician Group LLCGroup PAC ID 2062634991, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739

  IN

  Medicare reassignment Care Compare group NPD
• Sycamore Springs Physician Group LLC

  • Psychiatry Physician
  • Lafayette, IN
  • NPI 1972914539
  Medicare reassignment Care Compare group
• Acute Behavioral Health Services, P.C.

  • Hospitalist Physician
  • Lafayette, IN
  • NPI 1700453388
  Medicare reassignment NPD
• Aims, LLC

  • Psychiatry Physician
  • Bremen, IN
  • NPI 1376072785
  Medicare reassignment NPD
• Chinthala, PC

  • Psychiatry Physician
  • Carmel, IN
  • NPI 1861664229
  Medicare reassignment NPD

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1336507094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W JEFFERSON BLVD",
            "address_2": "STE 600",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011923",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W JEFFERSON BLVD",
            "address_2": "STE 600",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011923",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKEDI",
        "first_name": "AZUBIKE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71006064A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy W Noveroske, MD
• Christine Nowak, M.ED
• Edward Daniel Nusbaum, M.D.
• Rodolfo Enrique Nussbaum Gonzalez
• Nwi Hospitalists LLC
• Jaurney June Nyandoro, PHARMD
• Amber Marie O'Brien, CD(DONA), CLS
• Allen O'Carey, MSW, LSW
• O'Hana Heritage Foundation Inc (A Rosie Place)
• Alissa O'Hara, MA, BCBA, LBA

• Psychiatric/Mental Health Nurse Practitioner in South Bend, IN
• Providers in South Bend, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.