Individual provider Active NPI

Nnaemeka G Anosike, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Roseville, CA
National Provider Identifier
1740783455
Registry record updated Jun 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95008720 Issued in CA
Practice address
508 Gibson Dr Ste 150-160
Roseville, CA 95678-5794
Phone
(267) 777-1591
NPI assigned
Mar 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2025

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 95008720 CA
Primary Care Nurse Practitioner 363LP2300X 95008720 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95008720 CA Primary

Addresses

Primary practice location

508 Gibson Dr Ste 150-160
Roseville, CA 95678-5794

Mailing address

508 Gibson Dr Ste 150-160
Roseville, CA 95678-5794
Phone (267) 777-1591

Other practice location 1

3800 Watt Ave Ste 110
Sacramento, CA 95821-2622
Phone (916) 344-0249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201028000195 CA Practitioner - Nurse Practitioner 9739599077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zeam Medical Group IncGroup PAC ID 2466858667, 10 clinicians

Practice addresses (Care Compare)

508 Gibson Dr
Suite 150
Roseville, CA 95678-5796
Phone (916) 865-3670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95008720CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zeam Medical Group Inc CurrentSince Aug 1, 2021 Accepting new patients

Locations

193 Blue Ravine Rd
Ste 170
Folsom, CA 95630
Phone (916) 608-0714

508 Gibson Dr
Ste 150
Roseville, CA 95678
Phone (916) 608-0714

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749340800000",
    "number": "1740783455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 GIBSON DR STE 150-160",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785794",
            "telephone_number": "267-777-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 GIBSON DR STE 150-160",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785794",
            "telephone_number": "267-777-1591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Watt Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958212622",
            "country_code": "US",
            "telephone_number": "916-344-0249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANOSIKE",
        "first_name": "NNAEMEKA",
        "middle_name": "G",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-09",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95008720",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95008720",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95008720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.