JOHN IKECHUKWU NWABUGWU (PHMNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1215530571
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for JOHN IKECHUKWU NWABUGWU (PHMNP)
3182 CLEVELAND AVE N
ARDEN HILLS, MN 551123505
Phone: (651) 332-3817
Type: Mailing
9655 SCHMIDT LAKE RD STE 150
PLYMOUTH, MN 554424507
Phone: (507) 282-0724
Type: Location
1919 33RD ST NW
ROCHESTER, MN 559010536
Phone: (651) 332-3817
Type: Mailing
124 ELTON HILLS LN NW
ROCHESTER, MN 559013577
Phone: (507) 282-0724
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $263.
Total Amount is formed as General ($263) + Research ($0) + Ownership ($0) = $263.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Neuronetics, Inc. ($76).
Total Amount
$263
General + Research + Ownership
Payments
14
Total payment records
General Amount
$263
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neuronetics, Inc. | $76 |
| Tris Pharma Inc | $40 |
| Supernus Pharmaceuticals, Inc. | $37 |
| Tempus AI, Inc | $29 |
| Corium, LLC | $20 |
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: 2021-01-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210121000517 | I | Nurse Practitioner | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 27 | 12 | $0 |
Insurance plans in this area (ZIP 55112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | GA | |
| Nurse Practitioner | MN | |
| Registered Dietitian Or Nutrition Professional | MN | |
| P S Y C H I A T R Y | MN | |
| Clinical Psychologist | NY | |
| Nurse Practitioner | MN |
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