PATRICK OKECHUKWU ERONINI (AGACNP-BC) – Nurse Practitioner, NPI 1568078079
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
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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: 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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210202000234 | I | Nurse Practitioner | TX | TBD |
| I20241206003319 | I | Nurse Practitioner | CA | 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 95353)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Cardiovascular Disease (Cardiology), Nuclear Medicine, Internal Medicine | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA |
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