Individual provider Active NPI

Jane Ifeoma Nwankwo

  • Psychiatric/Mental Health Nurse Practitioner
  • West Hempstead, NY
National Provider Identifier
1831904366
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
406780 Issued in NY
Practice address
319 Hempstead Ave
West Hempstead, NY 11552-2042
Phone
(516) 475-9570
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406780 NY Primary

Addresses

Primary practice location

319 Hempstead Ave
West Hempstead, NY 11552-2042

Mailing address

319 Hempstead Ave
West Hempstead, NY 11552-2042
Phone (516) 475-9570

Other practice location 1

319 Hempstead Ave
West Hempstead, NY 11552-2042
Phone (516) 475-9570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250606000794 NY Practitioner - Nurse Practitioner 4486164787 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CS Medical Associates, PCGroup PAC ID 9335401454, 63 clinicians

Practice addresses (Care Compare)

120 Bethpage Rd
Suite 101
Hicksville, NY 11801-1515
Phone (631) 696-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
406780NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Medical Associates, P.C. CurrentSince May 5, 2025 Accepting new patients
CS Medical Associates, P.C. CurrentSince May 5, 2025 Accepting new patients
Orenda Psychiatry PLLC Psychiatric/Mental Health CurrentSince Jan 23, 2026 Accepting new patients
Calm Horizon NP in Psychiatry PLLC Psychiatric/Mental Health CurrentSince Sep 8, 2025 Accepting new patients
CS Medical Associates, P.C. Past Accepting new patients

Locations

100 Granny Rd
Ste 1
Farmingville, NY 11738
Phone (631) 666-1234

120 Bethpage Rd
Ste 101
Hicksville, NY 11801

1377 Motor Pkwy
Ste 102
Islandia, NY 11749

80 5th Ave
Ste 90310
New York, NY 10011

319 Hempstead Ave
West Hempstead, NY 11552
Phone (516) 743-9233

Interoperability endpoints

  • Direct secure messaging: jnwankwo@victoryrecovery.medentdirect.com

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": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1831904366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HEMPSTEAD AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522042",
            "telephone_number": "516-475-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 HEMPSTEAD AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522042",
            "telephone_number": "516-475-9570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Hempstead Ave",
            "address_purpose": "LOCATION",
            "city": "West Hempstead",
            "state": "NY",
            "postal_code": "115522042",
            "country_code": "US",
            "telephone_number": "516-475-9570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWANKWO",
        "first_name": "JANE",
        "middle_name": "IFEOMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

Verify at the official NPI Registry.