NNAMDI OFOEZE (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1073151916

NNAMDI OFOEZE (NP) is a healthcare provider. based in Hawthorne, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1072787 (TX). The NPI Number for NNAMDI OFOEZE (NP) is 1073151916

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
NNAMDI OFOEZE (NP)
NPI
1073151916
Phone
(562) 256-4810
Address
11628 YORK AVE APT 5
Enumeration Date
11 December 2019
Last Update Date
29 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9163519400
Graduation Year
2019 (7 years ago)
PAC ID
8224465174
Group Practice PAC ID
9436282191
Professional Enrollment ID
I20200305001909
Address ID
CA956304790FO510XXDRXX301
Telehealth
Yes

Contacts

Other Endpoint
Hawthorne
Other Endpoint
Gardena
Other Endpoint
Katy
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Other namesUpdated within 12 months

16,353 NURSE PRACTITIONER in CA

Provider Addresses for NNAMDI OFOEZE (NP)

  • 11628 YORK AVE APT 5

    HAWTHORNE, CA 902502604

    Phone: (562) 256-4810

    Type: Mailing

  • 23607 BATESVILLE CT

    KATY, TX 774934176

    Phone: (562) 256-4810

    Type: Mailing

  • 801 FM 1463 RD # 200-257

    KATY, TX 774947924

    Phone: (281) 562-9553

    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: 2026-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200305001909INurse PractitionerCATBD
I20240607001967INurse PractitionerTXTBD
I20260224000599INurse PractitionerMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2316$0
90833Psychotherapy with evaluation and management visit, 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 90250)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436282191View full group profile
NameSpecialtyState
Nurse PractitionerCA
-CA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Is there an official ID for NNAMDI OFOEZE (NP) in U.S. healthcare records?
The official identifier for NNAMDI OFOEZE (NP) is NPI 1073151916.
Would NNAMDI OFOEZE (NP) appear as active to a payer?
You can treat NNAMDI OFOEZE (NP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is NNAMDI OFOEZE (NP)?
NNAMDI OFOEZE (NP) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in California is NNAMDI OFOEZE (NP) registered?
Use Hawthorne, California as the headline location for NNAMDI OFOEZE (NP) here.
Does NNAMDI OFOEZE (NP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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