DR. GOODLUCK CHIBUIKE OKEREKE (DNP) – Family Nurse Practitioner, NPI 1114746575

DR. GOODLUCK CHIBUIKE OKEREKE (DNP) is a healthcare provider. based in Maryland heights, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. 2024038542 (MO). The NPI Number for DR. GOODLUCK CHIBUIKE OKEREKE (DNP) is 1114746575

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. GOODLUCK CHIBUIKE OKEREKE (DNP)
NPI
1114746575
Phone
(314) 437-1557
Address
PO BOX 1449
Enumeration Date
3 October 2024
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
8003455407
Graduation Year
2024 (2 years ago)
PAC ID
7113452897
Group Practice PAC ID
2062832181
Professional Enrollment ID
I20241119002444
Address ID
MO633049101WE4801XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for DR. GOODLUCK CHIBUIKE OKEREKE (DNP)

  • PO BOX 1449

    MARYLAND HEIGHTS, MO 630430449

    Phone: (314) 437-1557

    Fax: (636) 386-5386

    Type: Mailing

  • 4801 WELDON SPRING PKWY

    WELDON SPRING, MO 633049101

    Phone: (800) 345-5407

    Fax: (636) 386-5386

    Type: Location

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: 2024-11-19

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
I20241119002444INurse PractitionerMOTBD

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 63043)

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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: 2062832181View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Internal MedicineTX
Nurse PractitionerIL
H O S P I T A L I S TMO
Internal MedicineMO

Reviews

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Frequently asked questions

How do I look up DR. GOODLUCK CHIBUIKE OKEREKE (DNP) by NPI?
Use NPI 1114746575 when you need to reference DR. GOODLUCK CHIBUIKE OKEREKE (DNP) in forms, claims, or directories.
Does this profile mean DR. GOODLUCK CHIBUIKE OKEREKE (DNP) is currently active?
Yes — DR. GOODLUCK CHIBUIKE OKEREKE (DNP) appears active in the national provider directory.
Does DR. GOODLUCK CHIBUIKE OKEREKE (DNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for DR. GOODLUCK CHIBUIKE OKEREKE (DNP). Clinical services aligned with this taxonomy classification.
Does DR. GOODLUCK CHIBUIKE OKEREKE (DNP) practice in Missouri?
You will see Maryland Heights, Missouri on file for DR. GOODLUCK CHIBUIKE OKEREKE (DNP) alongside any extra practice locations.
How can I contact DR. GOODLUCK CHIBUIKE OKEREKE (DNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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