MRS. CAROL ANN CHUKWUKA (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1174176093

MRS. CAROL ANN CHUKWUKA (ARNP) is a healthcare provider. based in Davenport, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. G155244 (IA). The NPI Number for MRS. CAROL ANN CHUKWUKA (ARNP) is 1174176093

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CAROL ANN CHUKWUKA (ARNP)
NPI
1174176093
Phone
(563) 383-1900
Address
1441 W CENTRAL PARK AVE
Enumeration Date
19 July 2019
Last Update Date
22 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5633831900
Graduation Year
2019 (7 years ago)
PAC ID
8729310255
Group Practice PAC ID
6103715214
Professional Enrollment ID
I20191101000263
Address ID
IA528041707DA1441XAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,532 NURSE PRACTITIONER in IA

Provider Addresses for MRS. CAROL ANN CHUKWUKA (ARNP)

  • 1441, West Central Park Avenue, Davenport, Scott County, Iowa, 52804, United States

    DAVENPORT, IA 528041707

    Phone: (563) 383-1900

    Fax: (563) 328-5690

    Type: Mailing

  • 1850 E 53rd St Ste 2

    Davenport, IA 528072784

    Phone: (563) 359-4103

    Type: Location

  • 1441 W Central Park Ave

    Davenport, IA 528041707

    Phone: (563) 383-1900

    Fax: (563) 328-5690

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 71 Open Payments records for all available years, with a total value of $1,133.

Total Amount is formed as General ($1,133) + Research ($0) + Ownership ($0) = $1,133.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($225).

Total Amount

$1,133

General + Research + Ownership

Payments

71

Total payment records

General Amount

$1,133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2019-11-01

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
I20191101000263INurse PractitionerIATBD

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 minutes12854$0
96372Injection of drug or substance under skin or into muscle4018$0
View full utilization report →

Insurance plans in this area (ZIP 52804)

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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: 6103715214View full group profile
NameSpecialtyState
Clinical Social WorkerIA
Nurse PractitionerIA
Clinical Social WorkerIA
Nurse PractitionerIA
Clinical Social WorkerIA
-IA
Clinical Social WorkerIA
Mental Health CounselorMA
Nurse PractitionerIL
Clinical Social WorkerIA

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. CAROL ANN CHUKWUKA (ARNP)?
NPI 1174176093 is assigned to MRS. CAROL ANN CHUKWUKA (ARNP) under the national enumeration system.
Is MRS. CAROL ANN CHUKWUKA (ARNP) currently active in the NPI registry?
CMS-published data lists MRS. CAROL ANN CHUKWUKA (ARNP) as an active registrant.
Does MRS. CAROL ANN CHUKWUKA (ARNP) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for MRS. CAROL ANN CHUKWUKA (ARNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. CAROL ANN CHUKWUKA (ARNP)?
The page summarizes Davenport, Iowa for MRS. CAROL ANN CHUKWUKA (ARNP); expand the address list for detail.
What if Davenport, Iowa seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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