Individual provider Active NPI

Chinyere Virginia Osuchukwu, NP-C

  • Family Nurse Practitioner
  • Portsmouth, VA
National Provider Identifier
1346773983
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03170562 Issued in VA
Practice address
3235 Academy Ave Ste 301
Portsmouth, VA 23703-3200
Phone
(757) 484-9400
Fax
(757) 484-8809
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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 F03170562 VA Primary

Addresses

Primary practice location

3235 Academy Ave Ste 301
Portsmouth, VA 23703-3200

Mailing address

3235 Academy Ave Ste 301
Portsmouth, VA 23703-3200
Phone (757) 484-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20191022000420 VA Practitioner - Nurse Practitioner 7113259375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portsmouth Nephrology PCGroup PAC ID 7810039724, 4 clinicians

Practice addresses (Care Compare)

3235 Academy Ave
Suite 301
Portsmouth, VA 23703-3200
Phone (757) 484-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F03170562VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portsmouth Nephrology PC CurrentSince Jan 5, 2023 Accepting new patients

Locations

3235 Academy Ave
Ste 301
Portsmouth, VA 23703
Phone (757) 484-9400

Interoperability endpoints

  • Direct secure messaging: cosuchukwu40051@direct.acumenmd.com

Organizations & group practices 1

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1346773983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE STE 301",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-484-9400",
            "fax_number": "757-484-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE STE 301",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-484-9400",
            "fax_number": "757-484-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUCHUKWU",
        "first_name": "CHINYERE",
        "middle_name": "VIRGINIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "F03170562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.