Ikechukwu Okechukwu

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5598 Issued in MN

Practice address

1577 Legacy Pkwy E Unit 2
Maplewood, MN 55109-5416

Phone

(651) 302-6715

NPI assigned

Dec 19, 2017

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 MN, IL, WI3 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 3

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunshine Wounds LLCGroup PAC ID 0840726212, 6 clinicians

Instavaxx LLCGroup PAC ID 7911305586, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

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.

• Instavaxx LLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1134793771
  Medicare reassignment Care Compare group NPD
• Sunshine Wounds LLC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1831917368
  Medicare reassignment Care Compare group NPD
• Radial Wound PLLC

  • Internal Medicine Physician
  • Hoffman Estates, IL
  • NPI 1740009042
  Medicare reassignment NPD

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726963200000",
    "number": "1649786138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 LEGACY PKWY E UNIT 2",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 LEGACY PKWY E UNIT 2",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095416",
            "telephone_number": "651-302-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKECHUKWU",
        "first_name": "IKECHUKWU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-19",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "5598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocg LTD
• Saehymn Oh, DDS
• Christine Ohl, DO
• Sean Ohl, D.O
• Christin Joy Oien
• Olesen-Scundi Corporation
• Kathryn Ollenburg, DPT
• Elijah Michael Olson
• Jamie Olson, CNP
• Shannon Natalie Olson, LPCC

• Family Nurse Practitioner in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.