CORDELIA C OKWUOSAH (FNP-BC) – Acute Care Nurse Practitioner, NPI 1578867966

CORDELIA C OKWUOSAH (FNP-BC) is a healthcare provider. based in Trabuco canyon, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. APRN11000816 (FL). The NPI Number for CORDELIA C OKWUOSAH (FNP-BC) is 1578867966

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
CORDELIA C OKWUOSAH (FNP-BC)
NPI
1578867966
Phone
Not provided
Address
23491 VIA ALONDRA
Enumeration Date
29 December 2010
Last Update Date
4 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7273000405
Graduation Year
2010 (16 years ago)
PAC ID
8820261381
Group Practice PAC ID
9537544853
Professional Enrollment ID
I20230629002991
Address ID
FL337092150ST5880XNXXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

16,353 NURSE PRACTITIONER in CA

Provider Addresses for CORDELIA C OKWUOSAH (FNP-BC)

  • 23491 VIA ALONDRA

    TRABUCO CANYON, CA 926793907

    Phone:

    Type: Mailing

  • 3408 S ATLANTIC AVE # 1012

    DAYTONA BEACH SHORES, FL 321186311

    Phone: (386) 227-7580

    Fax: (619) 367-0419

    Type: Mailing

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: 2023-06-29

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230629002991INurse PractitionerFLTBD

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 92679)

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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: 9537544853View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Family Practice, Internal MedicineFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What NPI should I save for CORDELIA C OKWUOSAH (FNP-BC)?
Save NPI 1578867966 if you need a stable reference for CORDELIA C OKWUOSAH (FNP-BC).
Does this profile mean CORDELIA C OKWUOSAH (FNP-BC) is currently active?
Yes — CORDELIA C OKWUOSAH (FNP-BC) appears active in the national provider directory.
What kind of provider is CORDELIA C OKWUOSAH (FNP-BC)?
The page reflects Acute Care Nurse Practitioner for CORDELIA C OKWUOSAH (FNP-BC). Clinical services aligned with this taxonomy classification.
Where does public data place CORDELIA C OKWUOSAH (FNP-BC)?
The snapshot lists Trabuco Canyon, California for CORDELIA C OKWUOSAH (FNP-BC); download NPPES for the complete set.
Is CORDELIA C OKWUOSAH (FNP-BC) a real provider?
This page reflects official NPPES data for NPI 1578867966. Always confirm identity and privileges with the practice and licensing boards.

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