John Ikechukwu Nwabugwu, PHMNP in Plymouth, MN

John Ikechukwu Nwabugwu, PHMNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Plymouth, Minnesota. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Plymouth Psych Group Llc and his current practice location is 9655 Schmidt Lake Rd Ste 150, Plymouth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 282-0724.

John Ikechukwu Nwabugwu is licensed to practice in Minnesota (license number 7877) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215530571.

Contact Information

	John Ikechukwu Nwabugwu, PHMNP
	9655 Schmidt Lake Rd Ste 150, Plymouth, MN 55442-4507
	(507) 282-0724
	Not Available

Map and Direction

Provider's Profile

Full Name	John Ikechukwu Nwabugwu
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	9655 Schmidt Lake Rd Ste 150, Plymouth, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John Ikechukwu Nwabugwu graduated from nursing school in 2020

NPI Data:

NPI Number: 1215530571
Provider Enumeration Date: 11/19/2020
Last Update Date: 02/27/2026

Medicare PECOS Information:

PECOS PAC ID: 0042624702
Enrollment ID: I20210121000517

Medical Identifiers

Medical identifiers for John Ikechukwu Nwabugwu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215530571	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	7877 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Plymouth Psych Group Llc	6800103490	6

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. John Ikechukwu Nwabugwu allows following entities to bill medicare on his behalf.

Entity Name	Wisconsin Lutheran Child And Family Service Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083786628 PECOS PAC ID: 0749233898 Enrollment ID: O20130627000261

Entity Name	Plymouth Psych Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003195942 PECOS PAC ID: 6800103490 Enrollment ID: O20150915000728

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Ikechukwu Nwabugwu is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
John Ikechukwu Nwabugwu, PHMNP 3182 Cleveland Ave N, Arden Hills, MN 55112-3505 Ph: (651) 332-3817	John Ikechukwu Nwabugwu, PHMNP 9655 Schmidt Lake Rd Ste 150, Plymouth, MN 55442-4507 Ph: (507) 282-0724

Reviews and Comments

Nurse Practitioner Nurses in Plymouth, MN

Lauren Heskin, CNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9655 Schmidt Lake Rd Ste 150, Plymouth, MN 55442 Phone: 763-559-1640
Mrs. Ellie Flannery, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5046 Everest Ln N, Plymouth, MN 55446 Phone: 612-669-8725
Khrystyna Antonova, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15552 57th Pl N, Plymouth, MN 55446 Phone: 612-481-1842
Sarah Irene Hare, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4140 County Road 101 N, Plymouth, MN 55446 Phone: 763-478-4612
Natalie Brandsrud, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18205 45th Ave N Ste C, Plymouth, MN 55446 Phone: 763-400-7828
Elizabeth Ann Brennan, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Fernbrook Ln N Ste 120, Plymouth, MN 55447 Phone: 763-559-7050 Fax: 763-559-7060
John M Rozman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201

John Ikechukwu Nwabugwu, PHMNP - Medicare Nurse Practitioner in Plymouth, MN