OBINNA NWULU (APRN) – Family Nurse Practitioner, NPI 1023760345

OBINNA NWULU (APRN) is a healthcare provider. based in Davenport, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11008016 (FL). The NPI Number for OBINNA NWULU (APRN) is 1023760345

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
OBINNA NWULU (APRN)
NPI
1023760345
Phone
(407) 556-5762
Address
3063 SERENDIPITY WAY
Enumeration Date
19 January 2022
Last Update Date
19 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4072002300
Graduation Year
2020 (6 years ago)
PAC ID
2668827601
Group Practice PAC ID
3274657721
Professional Enrollment ID
I20231011004084
Address ID
FL347696765SA4660XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for OBINNA NWULU (APRN)

  • 3063 SERENDIPITY WAY

    DAVENPORT, FL 338968624

    Phone: (407) 556-5762

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $1,875.

Total Amount is formed as General ($1,875) + Research ($0) + Ownership ($0) = $1,875.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($715).

Total Amount

$1,875

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,875

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-10-11

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
I20231011004084INurse 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 33896)

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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: 3274657721View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerND
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerWI
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find OBINNA NWULU (APRN)'s NPI?
You can confirm OBINNA NWULU (APRN) with NPI 1023760345; it appears in the national provider directory.
Is OBINNA NWULU (APRN)'s NPI currently valid?
The extract we use shows OBINNA NWULU (APRN) as active.
Does OBINNA NWULU (APRN) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for OBINNA NWULU (APRN). Clinical services aligned with this taxonomy classification.
What location metadata exists for OBINNA NWULU (APRN)?
The page summarizes Davenport, Florida for OBINNA NWULU (APRN); expand the address list for detail.
How can I contact OBINNA NWULU (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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