Walter Ogetti Nyabere, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0956 Issued in MN

Practice address

8421 W Broadway Ave
Brooklyn Park, MN 55445

Phone

(952) 212-0911

Fax

(651) 300-1956

NPI assigned

Oct 12, 2012

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 MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: walter.nyabere.1@16780.direct.athenahealth.com

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.

• Theoria Medical

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  • Novi, MI
  • NPI 1609362375

  MN, Nurse Practitioner

  Medicare reassignment NPD
• Complexcare Medical Group Midwest M PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1528851607

  Nurse Practitioner

  NPD (past)
• Theoria Medical

  • Internal Medicine Physician
  • Brighton, MI
  • NPI 1164186946

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1467704528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 W BROADWAY AVE",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452266",
            "telephone_number": "952-212-0911",
            "fax_number": "651-300-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 W BROADWAY AVE",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55445",
            "telephone_number": "952-212-0911",
            "fax_number": "651-300-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYABERE",
        "first_name": "WALTER",
        "middle_name": "OGETTI",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-12",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "0956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilian T Nwaokorie, PA-C
• Ngozi Nwaokorie
• Josephine Amaka Nwoke, MSW, LICSW
• Bonaventure Chisom Nwokocha, D.D.S
• Gloria Ijeoma Nwoye, RN
• Bailey Nygaard, RN
• Nyonguo Home Health Services LLC
• Oak Crest Ventures LLC
• Oasis Home Health, LLC
• Oasis Homecare Services L.L.C

• Nurse Practitioner in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.