Individual provider Active NPI

Agnes Ihechinyere Nwoko, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Burlington, NC
National Provider Identifier
1679673511
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5002926 Issued in NC
Practice address
2014 Anthony Rd
Burlington, NC 27215-8941
Phone
(336) 506-2600
NPI assigned
Sep 22, 2006
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5002926 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5002926 NC Primary
General Practice Registered Nurse 163WG0000X RN132950 NC

Addresses

Primary practice location

2014 Anthony Rd
Burlington, NC 27215-8941

Mailing address

PO Box 1630
Pinehurst, NC 28370-1630
Phone (910) 295-6007

Other practice location 1

309 Crutchfield St
Durham, NC 27704-2754
Phone (919) 560-7305

Other identifiers 1

IdentifierTypeStateIssuer
2005009938-22OtherNCANCC CERTIFICATION

Other names 1

  • Agnes Ihechinyere Ohajunwa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080401000203 NC Practitioner - Nurse Practitioner 0042396012 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

700 Walter Reed Dr
Greensboro, NC 27403-1128
Phone (336) 832-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN132950NCMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Oct 17, 2022 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Feb 3, 2025 Accepting new patients
Recovery Innovations, Inc CurrentSince Apr 4, 2025 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Oct 17, 2022 Accepting new patients
Triumph LLC Past Accepting new patients
Carolina Behavioral Care Past Accepting new patients
Carolina Behavioral Care, P.a. Psychiatric/Mental Health Past Accepting new patients

Locations

2701 N 16th St
Ste 316
Phoenix, AZ 85006

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

309 Crutchfield St
Durham, NC 27704
Phone (919) 560-7305

1724 Roxie Ave
Fayetteville, NC 28304
Phone (910) 484-1212

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600

107 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 250-1260

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1679673511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1630",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283701630",
            "telephone_number": "910-295-6007",
            "fax_number": "910-215-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 ANTHONY RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158941",
            "telephone_number": "336-506-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Crutchfield St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277042754",
            "country_code": "US",
            "telephone_number": "919-560-7305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWOKO",
        "first_name": "AGNES",
        "middle_name": "IHECHINYERE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5002926",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5002926",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NC",
            "license": "RN132950",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC CERTIFICATION",
            "identifier": "2005009938-22",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGNES",
            "last_name": "OHAJUNWA",
            "middle_name": "IHECHINYERE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.