Samuel Nwanekpe

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11050 Issued in MN

Practice address

1821 University Ave W Ste S348
Saint Paul, MN 55104-2876

Phone

(651) 493-3834

Fax

(651) 493-3835

NPI assigned

Jul 20, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Beacon of Hope Psychiatry & Sud Clinic PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • McKinney, TX
  • NPI 1447187208

  MN

  Medicare reassignment NPD Authorized official
• Northwest Home Health Care Services, LLC

  • In Home Supportive Care Agency
  • Saint Paul, MN
  • NPI 1346796182
  NPD (past)

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1861845281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 GREY EAGLE DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551294297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE S348",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042876",
            "telephone_number": "651-493-3834",
            "fax_number": "651-493-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANEKPE",
        "first_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BOARD OF NURSING",
            "identifier": "R 154140-3",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nutura Home Health Care LLC
• Nuvyb Consulting
• Nuway Recovery Foundation
• Chukwujindu Onyemordi Nwaigbo, DDS
• Emmanuel Nwala, PHD, LPC
• Morah Ngozi Nwaneri, PHARMD
• Ogbonnaya Nwigwe, RN
• Emelda Nwogwugwu, RN
• Nneka Nwokoro, DPT
• Prince Nyankun

• Psychiatric/Mental Health Nurse Practitioner in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.