Joecoline Nwachukwu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95021528 Issued in CA

Practice address

1550 N D St Ste D
San Bernardino, CA 92405-4720

Phone

(909) 688-6151

Fax

(951) 399-2038

NPI assigned

Jul 5, 2022

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CA, PA2 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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Foothill Behavioral Health Consultants IncGroup PAC ID 9739276882, 11 clinicians

Veracity Psychiatry Solutions IncGroup PAC ID 6901270917, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Mary Medical Center Hospital, Apple Valley, CA, CCN 050300

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4

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.

• Veracity Psychiatry Solutions Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • San Bernardino, CA
  • NPI 1992418305
  Medicare reassignment Care Compare group NPD Authorized official
• Foothill Behavioral Health Consultants Inc

  • Psychiatry Physician
  • Victorville, CA
  • NPI 1265443154
  Medicare reassignment Care Compare group NPD
• Philadelphia Behavioral Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
  • NPI 1932075231
  Medicare reassignment NPD Authorized official
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Mellow Medical Inc a Professional Corporation

  • Psychiatry Physician
  • West Hollywood, CA
  • NPI 1407275886
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  PA, Psychiatric/Mental Health

  Medicare reassignment NPD
• Savanna Olsson, Pmhnp: a Professional Nursing Corporation

  • Nursing Care Agency
  • Victorville, CA
  • NPI 1942955935
  NPD (past)

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

• St. Mary Medical Center

  dba Providence St. Mary Medical Center

  • Advanced Practice Midwife
  • Apple Valley, CA
  • NPI 1043406440

  Hospital

  Care Compare affiliation
• St. Mary Medical Center

  dba Providence St. Mary Medical Center

  • General Acute Care Hospital
  • Apple Valley, CA
  • NPI 1669456299
  Care Compare affiliation
• St. Mary Medical Center

  dba Providence St. Mary Medical Center

  • General Acute Care Hospital
  • Apple Valley, CA
  • NPI 1710109186
  Care Compare affiliation

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1386377612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N D ST STE D",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054720",
            "telephone_number": "909-688-6151",
            "fax_number": "951-399-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N D ST STE D",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054720",
            "telephone_number": "909-688-6151",
            "fax_number": "951-399-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWACHUKWU",
        "first_name": "JOECOLINE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-05",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo Nunez
• Rebecca Monique Nunez, LPT
• Yolanda Nunez
• Destiny Marie Nuno
• Nursefinders, LLC (Nursefinders of San Bernardino)
• Emeka Nwaneri, RN
• Ikenna Raymond Nwigwe, R.PH
• Lotanna Sochima Nwobu, ASCW
• Obianuju Nwuke
• Mary Ann Nyc, MD

• Psychiatric/Mental Health Nurse Practitioner in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.