ISIDORE OBINNA NWAGWU (APRN) – Family Nurse Practitioner, NPI 1376812818

ISIDORE OBINNA NWAGWU (APRN) is a healthcare provider. based in Pittsburg, Kansas. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 2011039961 (MO). The NPI Number for ISIDORE OBINNA NWAGWU (APRN) is 1376812818

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
ISIDORE OBINNA NWAGWU (APRN)
NPI
1376812818
Phone
(620) 235-7605
Address
# 1 Medical Center Circle
Enumeration Date
28 December 2011
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6202318003
Graduation Year
2011 (15 years ago)
PAC ID
9830339985
Group Practice PAC ID
3577595123
Professional Enrollment ID
I20130712000414
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for ISIDORE OBINNA NWAGWU (APRN)

  • # 1 Medical Center Circle

    Ste. A

    Pittsburg, KS 667626613

    Phone: (620) 235-7605

    Fax: (620) 235-7609

    Type: Location

  • 200 E CENTENNIAL DR

    # 3&4

    PITTSBURG, KS 667626571

    Phone: (620) 231-9873

    Fax: (620) 231-5062

    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: 2013-07-12

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
I20130712000414INurse PractitionerKSTBD

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 66762)

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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: 3577595123View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerKS
Nurse PractitionerKS
Emergency Medicine, Family Practice, General PracticeKS

Reviews

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Frequently asked questions

How is ISIDORE OBINNA NWAGWU (APRN) identified in CMS data?
CMS-hosted NPPES data lists ISIDORE OBINNA NWAGWU (APRN) with NPI 1376812818.
Is ISIDORE OBINNA NWAGWU (APRN) listed as active for patients and plans?
The listing shows ISIDORE OBINNA NWAGWU (APRN) as active in the NPI system.
What is ISIDORE OBINNA NWAGWU (APRN) best known for clinically?
Directory data describes ISIDORE OBINNA NWAGWU (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does ISIDORE OBINNA NWAGWU (APRN) list a practice location?
Patients near Pittsburg, Kansas may find ISIDORE OBINNA NWAGWU (APRN) in results; validate coverage separately.
Is the information about ISIDORE OBINNA NWAGWU (APRN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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