MRS. THEODORA CHIDIEBERE NWOSU (CRNP, APN) – Nurse Practitioner, NPI 1740569904
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
Provider Addresses for MRS. THEODORA CHIDIEBERE NWOSU (CRNP, APN)
700 LIBERTY PL
SICKLERVILLE, NJ 080815715
Phone: (856) 776-7540
Fax: (856) 776-7512
Type: Mailing
602 LIBERTY PL
SICKLERVILLE, NJ 080815700
Phone: (856) 776-7540
Fax: (856) 776-7512
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $1,083.
Total Amount is formed as General ($1,083) + Research ($0) + Ownership ($0) = $1,083.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($364).
Total Amount
$1,083
General + Research + Ownership
Payments
64
Total payment records
General Amount
$1,083
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $364 |
| Otsuka America Pharmaceutical, Inc. | $157 |
| Janssen Pharmaceuticals, Inc | $138 |
| Axsome Therapeutics, Inc. | $82 |
| Alkermes, Inc. | $76 |
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: 2013-05-24
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 |
|---|---|---|---|---|
| I20130524000548 | I | Nurse Practitioner | NJ | 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 |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 678 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 630 | 92 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 206 | 53 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 187 | 56 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 08081)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | NJ | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 171 | 44 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NJ |
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