Nina Ezinne Nwoko, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1021680 Issued in TX

Practice address

1055 N Curtis Rd
Boise, ID 83706-1309

Phone

(208) 302-2000

Fax

(208) 302-2055

NPI assigned

Dec 24, 2020

Last updated

Oct 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, ID, FL, IL, DC, NY, NM, OH8 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 8

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Five Star Medical Office PCGroup PAC ID 8820248016, 11 clinicians

Mill Basin Medical Health PCGroup PAC ID 9133566128, 104 clinicians

Ma SNF on Call PLLCGroup PAC ID 4789160250, 13 clinicians

Premier Family Care I IncGroup PAC ID 2567351372, 71 clinicians

Careathome Medical Practice KyGroup PAC ID 6800202193, 16 clinicians

Lone Star Intensivists at Gulf Coast, PLLCGroup PAC ID 9537410972, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 32)

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.

• Careathome Medical Practice Ky

  • Family Medicine Physician
  • New York, NY
  • NPI 1467040345

  IL, Nurse Practitioner, OH, TX

  Medicare reassignment Care Compare group NPD
• Five Star Medical Office PC

  • Internal Medicine Physician
  • Forest Hills, NY
  • NPI 1760731459
  Medicare reassignment Care Compare group NPD
• Lone Star Intensivists at Gulf Coast, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Webster, TX
  • NPI 1528558236
  Medicare reassignment Care Compare group NPD
• Premier Family Care I, Inc

  dba Premier Physicians

  • General Practice Physician
  • Midland, TX
  • NPI 1275522864
  Medicare reassignment Care Compare group NPD
• Saint Alphonsus Regional Medical Center Inc

  • Psychologist
  • Boise, ID
  • NPI 1649357716

  Nurse Practitioner

  Medicare reassignment NPD
• Caringathome, LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1912595828

  DC, Nurse Practitioner

  Medicare reassignment NPD
• Cogent Healthcare of Texas, PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1992722953

  Nurse Practitioner

  Medicare reassignment NPD
• Pulmonary Critical Care Professionals

  • Pulmonary Disease Physician
  • Mansfield, TX
  • NPI 1922714179
  Medicare reassignment NPD
• Sherman MD Provider Inc

  dba WNJ WellCare Medical Group

  • Family Medicine Physician
  • Sherman, TX
  • NPI 1841696846
  Medicare reassignment NPD
• Star MD of Arlington PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Dallas, TX
  • NPI 1124894308
  Medicare reassignment NPD
• Visavis Health Care Medical Group of Il, PLLC

  • Family Medicine Physician
  • Skokie, IL
  • NPI 1710865720
  Medicare reassignment NPD
• Visavis Health Care Medical Group of Oh LLC

  • Family Medicine Physician
  • Delaware, OH
  • NPI 1043195050
  Medicare reassignment NPD

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

• Midland County Hospital District

  dba Midland Memorial Hospital

  • General Acute Care Hospital
  • Midland, TX
  • NPI 1255325817
  Care Compare affiliation

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1689261679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 GRASSMERE LN APT 1623",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750718542",
            "telephone_number": "512-221-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061309",
            "telephone_number": "208-302-2000",
            "fax_number": "208-302-2055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5851 Legacy Cir Fl 6",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750245966",
            "country_code": "US",
            "telephone_number": "888-553-2823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 S Main St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605405485",
            "country_code": "US",
            "telephone_number": "888-553-2823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Ashley Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336025300",
            "country_code": "US",
            "telephone_number": "888-553-2823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Madison Ave Ste 2817",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165101",
            "country_code": "US",
            "telephone_number": "888-553-2823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5680 King Centre Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223155755",
            "country_code": "US",
            "telephone_number": "888-553-2823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1920 Grassmere Ln Apt 1623",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750718542",
            "country_code": "US",
            "telephone_number": "512-221-5754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWOKO",
        "first_name": "NINA",
        "middle_name": "EZINNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-24",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209030132",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1021680",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11035264",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024191331",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1021680",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "78791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rebecca Rice Nutting
• Kylie Linn Nuxoll, FNP-C
• Freddy Nyakulinda, BSW
• Everline Moraa Nyakundi, NP
• Jeoffrey Nyborg, RPT
• Tara Nyborg
• Danielle O'Brien, DPT, PT

• Acute Care Nurse Practitioner in Boise, ID
• Providers in Boise, ID by specialty
• Acute Care Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.