MR. BETHEL UBOCHI (NP) – Nurse Practitioner, NPI 1063831824

MR. BETHEL UBOCHI (NP) is a healthcare provider. based in Roseburg, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 173722-30 (WI). The NPI Number for MR. BETHEL UBOCHI (NP) is 1063831824

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. BETHEL UBOCHI (NP)
NPI
1063831824
Phone
(920) 931-5061
Address
121 WOODROSE CT
Enumeration Date
9 April 2014
Last Update Date
9 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7047844494
Graduation Year
2019 (7 years ago)
PAC ID
6204288343
Group Practice PAC ID
1951676568
Professional Enrollment ID
I20250108000612
Address ID
NC280252925CO515XXNEXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:12State licenses:3Digital endpointsOther names

6,033 NURSE PRACTITIONER in WI

Provider Addresses for MR. BETHEL UBOCHI (NP)

  • 121 WOODROSE CT

    ROSEBURG, OR 974711646

    Phone: (920) 931-5061

    Fax: (541) 440-1394

    Type: Mailing

  • 2420 SYCAMORE DR APT 58

    GREEN BAY, WI 543115166

    Phone: (920) 931-5061

    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: 2026-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 18 Medicare enrollment records; no due dates published yet.

Enrollment records

18

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
I20240115000256INurse PractitionerNMTBD
I20240424001222INurse PractitionerORTBD
I20241025000483INurse PractitionerWATBD
I20241230002409INurse PractitionerCTTBD
I20241231000370INurse PractitionerNHTBD
I20250108000612INurse PractitionerNCTBD
I20250108000828INurse PractitionerWVTBD
I20250123000654INurse PractitionerTNTBD
I20250123000792INurse PractitionerRITBD
I20250123001052INurse PractitionerNYTBD
I20250131001109INurse PractitionerCOTBD
I20250204000519INurse PractitionerOHTBD
I20250211000668INurse PractitionerDETBD
I20251224001474INurse PractitionerMETBD
I20251230001215INurse PractitionerPATBD
I20251231001429INurse PractitionerVATBD
I20260102000409INurse PractitionerDCTBD
I20260113002495INurse PractitionerFLTBD

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
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes2322$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 97471)

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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: 1951676568View full group profile
NameSpecialtyState
Nurse PractitionerVA
Nurse PractitionerMD
Emergency MedicineTX
Emergency MedicinePA
-WV
Nurse PractitionerCA
-OR
-MD
Nurse PractitionerRI
Internal Medicine, Infectious DiseaseNY

Reviews

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Frequently asked questions

What number should I use to identify MR. BETHEL UBOCHI (NP) for billing?
Administrative and clinical systems typically use NPI 1063831824 for MR. BETHEL UBOCHI (NP).
Quick check: is MR. BETHEL UBOCHI (NP) active?
Public NPPES data shows MR. BETHEL UBOCHI (NP) with an active NPI status right now.
What type of care does MR. BETHEL UBOCHI (NP) provide?
MR. BETHEL UBOCHI (NP)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. BETHEL UBOCHI (NP)?
MR. BETHEL UBOCHI (NP) is associated with Roseburg, Oregon in the same public data insurers reference.
Can I export MR. BETHEL UBOCHI (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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