PATRICK OKECHUKWU ERONINI (AGACNP-BC) – Nurse Practitioner, NPI 1568078079

PATRICK OKECHUKWU ERONINI (AGACNP-BC) is a healthcare provider. based in Modesto, California. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 1013975 (TX). The NPI Number for PATRICK OKECHUKWU ERONINI (AGACNP-BC) is 1568078079

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK OKECHUKWU ERONINI (AGACNP-BC)
NPI
1568078079
Phone
(209) 575-4575
Address
PO BOX 3091
Enumeration Date
20 September 2020
Last Update Date
9 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2099662344
Graduation Year
2017 (9 years ago)
PAC ID
6204963788
Group Practice PAC ID
3476813460
Professional Enrollment ID
I20241206003319
Address ID
CA953389588MA5320XNXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:5State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for PATRICK OKECHUKWU ERONINI (AGACNP-BC)

  • PO BOX 3091

    MODESTO, CA 953533091

    Phone: (209) 575-4575

    Fax: (209) 575-4598

    Type: Mailing

  • 6608 MERCY CT STE B

    FAIR OAKS, CA 956283171

    Phone: (916) 277-8881

    Type: Location

  • 3401 PADRE BLVD

    SOUTH PADRE ISLAND, TX 785977124

    Phone: (956) 616-5225

    Type: Location

  • PO BOX 3903

    EDINBURG, TX 785403903

    Phone: (956) 309-5315

    Type: Mailing

  • 4603 N JACKSON RD STE D

    MCALLEN, TX 785046161

    Phone: (956) 309-5315

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2024-12-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210202000234INurse PractitionerTXTBD
I20241206003319INurse PractitionerCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95353)

Loading plans...

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: 3476813460View full group profile
NameSpecialtyState
Nurse PractitionerCA
Family PracticeCA
Nurse PractitionerCA
Internal MedicineCA
Nurse PractitionerCA
Physician AssistantCA
Nurse PractitionerCA
Cardiovascular Disease (Cardiology), Nuclear Medicine, Internal MedicineCA
Physician AssistantCA
Nurse PractitionerCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for PATRICK OKECHUKWU ERONINI (AGACNP-BC)?
PATRICK OKECHUKWU ERONINI (AGACNP-BC) — NPI 1568078079 — is the standard way to identify this listing.
Does CMS list PATRICK OKECHUKWU ERONINI (AGACNP-BC) as active?
Yes — PATRICK OKECHUKWU ERONINI (AGACNP-BC) is active in the NPI listing used on this page.
What is PATRICK OKECHUKWU ERONINI (AGACNP-BC)'s specialty?
The listing groups PATRICK OKECHUKWU ERONINI (AGACNP-BC) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does PATRICK OKECHUKWU ERONINI (AGACNP-BC) list a practice location?
Patients near Modesto, California may find PATRICK OKECHUKWU ERONINI (AGACNP-BC) in results; validate coverage separately.
Why does PATRICK OKECHUKWU ERONINI (AGACNP-BC) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.