KINGSLEY CHUKWUEKE – Certified Registered Nurse Anesthetist, NPI 1265469498

KINGSLEY CHUKWUEKE is a healthcare provider. based in Jackson, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 26NR11139200 (NJ). The NPI Number for KINGSLEY CHUKWUEKE is 1265469498

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
KINGSLEY CHUKWUEKE
NPI
1265469498
Phone
(517) 787-6440
Address
255 W MICHIGAN AVE
Enumeration Date
26 June 2006
Last Update Date
23 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709918000
Graduation Year
1999 (27 years ago)
PAC ID
0749261204
Group Practice PAC ID
2163952284
Professional Enrollment ID
I20091020000043
Address ID
GA302742615RI11XXXSWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,121 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NJ

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Provider Addresses for KINGSLEY CHUKWUEKE

  • 255, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States

    PO BOX 1123

    JACKSON, MI 492012218

    Phone: (517) 787-6440

    Fax: (517) 787-4146

    Type: Mailing

  • AtlantiCare Regional Medical Center, 65, Jimmie Leeds Road, Monticello Estates, Galloway Township, Atlantic County, New Jersey, 08240, United States

    POMONA, NJ 08240

    Phone: (609) 748-7088

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-02-14 • Largest payer in this snapshot: Ethicon US, LLC ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ethicon US, LLC$23
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: 2009-10-20

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
I20091020000043ICertified Registered Nurse Anesthetist (Crna)GATBD

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
01844Anesthesia for placement or revision of blood flow shunt1111$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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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: 2163952284View full group profile
NameSpecialtyState
Anesthesiology AssistantFL
A N E S T H E S I O L O G YGA
Anesthesiology AssistantTX
A N E S T H E S I O L O G YGA
A N E S T H E S I O L O G YGA
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

What NPI should I save for KINGSLEY CHUKWUEKE?
Save NPI 1265469498 if you need a stable reference for KINGSLEY CHUKWUEKE.
Is KINGSLEY CHUKWUEKE's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KINGSLEY CHUKWUEKE?
The page reflects Certified Registered Nurse Anesthetist for KINGSLEY CHUKWUEKE. Clinical services aligned with this taxonomy classification.
What location metadata exists for KINGSLEY CHUKWUEKE?
The page summarizes Jackson, Michigan for KINGSLEY CHUKWUEKE; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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