DR. LOVELINE OZIOMA IMANATUE (DNP) – Nurse Practitioner, NPI 1467022004
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,509 NURSE PRACTITIONER in AZ
Provider Addresses for DR. LOVELINE OZIOMA IMANATUE (DNP)
525 W Brown Rd
Mesa, AZ 852013202
Phone: (480) 684-5000
Type: Location
11952 W Pierce St
Avondale, AZ 853237212
Phone: (619) 735-5939
Type: Location
3137 W Indian School Rd
Phoenix, AZ 850174069
Phone: (602) 325-5570
Fax: (415) 252-7176
Type: Location
4550 KRUSE WAY STE 125
LAKE OSWEGO, OR 970353533
Phone: (458) 600-2389
Fax: (877) 323-0696
Type: Mailing
11952 W PIERCE ST
AVONDALE, AZ 853237212
Phone: (619) 735-5939
Type: Mailing
4550 KRUSE WAY
LAKE OSWEGO, OR 970353594
Phone: (458) 600-2389
Fax: (877) 323-0696
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-03-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250319002712 | I | Nurse Practitioner | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| Family Practice | MO | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| Family Practice | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ |
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