Active NPI
Leo Iwe Nwaokwu, FNP
- Family Nurse Practitioner
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 60305
- Practice address
- 1650 Galisteo St
Santa Fe, NM 87505-4747 - Phone
- (512) 287-0444
- NPI assigned
- Apr 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F07191726 | TX | |
| Family Nurse Practitioner | 363LF0000X | 60305 | NM | Primary |
| Community Health Registered Nurse | 163WC1500X | 651848 | NY |
Addresses
Primary practice location
1650 Galisteo St
Santa Fe, NM 87505-4747
Mailing address
18749 Marsh LN Apt 213
Dallas, TX 75287-3506
Phone (512) 287-0444
Other names 1
- Leo Iwe Nwaokwu
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Leo_Nwaokwu@Teamhealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Albuquerque, NM 87110
Phone (505) 413-3719
10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111-6022
Phone (206) 823-1004
8500 Menaul Blvd NE
Albuquerque, NM 87112-1273
Phone (512) 287-0444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 651848 | NY | MD | Community Health Registered Nurse |
| 60305 | NM | MD | Family Nurse Practitioner |
| F07191726 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingston Care Partners, LLC | Current | Accepting new patients | |
| Mount Sinai Doctors Weight Loss Center LLC | Family | Current | Accepting new patients |
| Mount Sinai Medical Services of New Mexico LLC | Family | Current | Accepting new patients |
| Genesis Home Health Care LLC | Current | Accepting new patients | |
| Daiya Healthcare PLLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients |
Locations
8500 Menaul Blvd NE
Ste B550
Albuquerque, NM 87112
Phone (505) 595-3113
500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685
10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111
Phone (505) 298-1231
8500 Menaul Blvd NE
Albuquerque, NM 87112
Phone (505) 803-0762
1 Seagate
Ste 1960
Toledo, OH 43604
Phone (419) 247-2880
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- leo_nwaokwu@teamhealth.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Genesis Home Health Care LLC | Home health agency | 5% Or Greater Direct Ownership Interest (100%) Corporate Director (100%) W-2 Managing Employee (100%) |
Dec 6, 2022 Dec 6, 2022 Dec 6, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Albuquerque, NM
- NPI 1184324634
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
Organizations & group practices 7
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.
-
- Family Nurse Practitioner
- Albuquerque, NM
- NPI 1477316552
-
- Family Nurse Practitioner
- Albuquerque, NM
- NPI 1912731290
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1649984667
-
- Home Health Agency
- Albuquerque, NM
- NPI 1184324634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1497098883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18749 MARSH LN APT 213",
"city": "DALLAS",
"state": "TX",
"postal_code": "752873506",
"telephone_number": "512-287-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GALISTEO ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054747",
"telephone_number": "512-287-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWAOKWU",
"first_name": "LEO",
"middle_name": "IWE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-03",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "F07191726",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "60305",
"primary": true
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "NY",
"license": "651848",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Leo_Nwaokwu@Teamhealth.com",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "secured mails",
"address_1": "1650 Galisteo St",
"city": "Santa Fe",
"state": "NM",
"country_code": "US",
"postal_code": "875054747",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LEO",
"last_name": "NWAOKWU",
"middle_name": "IWE",
"credential": "FNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.