Individual provider Active NPI

Ugochi N Nwaobi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1780237156
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
C-APN.0003929-C-NP Issued in CO
Practice address
875 W Moreno Ave
Colorado Springs, CO 80905-1731
Phone
(719) 572-6100
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 9347235 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0003929-C-NP CO Primary

Addresses

Primary practice location

875 W Moreno Ave
Colorado Springs, CO 80905-1731

Mailing address

900 NW 17TH St
Miami, FL 33136-1119
Phone (305) 326-6550

Other practice location 1

900 NW 17th St
Miami, FL 33136-1119
Phone (305) 326-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL, MD, DC, OR5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20220602001058 CO Practitioner - Nurse Practitioner 6800274945 Reassigns benefits to 3 organizations
I20240416003829 FL Practitioner - Nurse Practitioner 6800274945 Reassigns benefits to 2 organizations
I20241206000393 MD Practitioner - Nurse Practitioner 6800274945 Reassigns benefits to 1 organization
I20260118000069 DC Practitioner - Nurse Practitioner 6800274945 Reassigns benefits to 1 organization
I20260120002967 OR Practitioner - Nurse Practitioner 6800274945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians
Diversus Health IncGroup PAC ID 7719879204, 49 clinicians

Practice addresses (Care Compare)

Oakland, MD 21550
Phone (352) 286-9347

1942 Broadway
Suite 314C
Boulder, CO 80302-5233
Phone (352) 286-9347

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

8403 Pines Blvd
Pembroke Pines, FL 33024-6609
Phone (954) 710-9062

875 W Moreno Ave
Colorado Springs, CO 80905-1731
Phone (719) 572-6100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9347235FLMDGerontology Nurse Practitioner
C-APN.0003929-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Mar 3, 2024 Accepting new patients
Diversus Health Inc CurrentSince May 9, 2022 Accepting new patients
Diversus Health Inc CurrentSince May 9, 2022 Accepting new patients
Graceful Olives Health Psychiatric/Mental Health CurrentSince May 14, 2024 Accepting new patients
Diversus Health Inc Current Accepting new patients

Locations

460 County Road 43
Ste 7
Bailey, CO 80421
Phone (303) 838-5013

1942 Broadway
Ste 314C
Boulder, CO 80302
Phone (719) 203-1465

328 10th St
Calhan, CO 80808

179 S Parkside Dr
Colorado Springs, CO 80910
Phone (719) 572-6300

115 S Parkside Dr
Colorado Springs, CO 80910
Phone (719) 572-6340

413 Security Blvd
Colorado Springs, CO 80911

220 Ruskin Dr
Colorado Springs, CO 80910
Phone (719) 572-6150

6208 Lehman Dr
Colorado Springs, CO 80918
Phone (719) 572-6133

875 W Moreno Ave
Colorado Springs, CO 80905
Phone (719) 572-6200

1795 Jet Wing Dr
Colorado Springs, CO 80916
Phone (719) 572-6111

1500 N Grant St
Ste 8056
Denver, CO 80203

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

18401 Highway 24
Ste 119
Woodland Park, CO 80863

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

8403 Pines Blvd
Pembroke Pines, FL 33024
Phone (305) 747-9564

5742 W Hallandale Beach Blvd
West Park, FL 33023
Phone (954) 710-9062

5000 Thayer Ctr
Ste C
Oakland, MD 21550
Phone (410) 397-7100

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 5

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1780237156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361119",
            "telephone_number": "305-326-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 W MORENO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051731",
            "telephone_number": "719-572-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 NW 17th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361119",
            "country_code": "US",
            "telephone_number": "305-326-6550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWAOBI",
        "first_name": "UGOCHI",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9347235",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0003929-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.