SAMUEL OKECHUKWU
NPI 1396412763
Nurse Practitioner - Psychiatric/Mental Health in Passaic, NJ

Active since August 24, 2021PECOS EnrolledAccepts Medicare Assignment
350 BOULEVARD, PASSAIC, NJ 07055(862) 596-4831 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Okechukwu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL OKECHUKWU (NPI 1396412763) is an individual psychiatric/mental health provider in Passaic, New Jersey, licensed in New Jersey (26NJ01197300) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396412763
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSAMUEL OKECHUKWU
Location Address350 BOULEVARDPassaic, NJ 07055-2840
Mailing Address350 BoulevardPassaic, NJ 07055-2840
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 24, 2021
NPPES CertifiedAugust 24, 2021
NPI 1396412763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NJ · 26NJ01197300
350 BOULEVARD, Passaic, NJ 07055

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samuel Okechukwu is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173993250
PECOS Enrollment IDI20230124001497
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management 90868
This treatment involves using a magnetic field to activate nerve cells in the brain. It's a non-invasive procedure designed to manage conditions like depression. The magnetic field is precisely targeted to stimulate specific areas of the brain to improve symptoms.
219 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
350 BOULEVARD, ST. MARY'S HOSPITAL MEMORIAL BUILDING, ROOM 416
PASSAIC, NJ 07055
Radiology (Therapeutic Radiology)
350 BOULEVARD
PASSAIC, NJ 07055
Emergency Medicine
350 BOULEVARD
PASSAIC, NJ 07055
Pharmacy (Community/Retail Pharmacy)
350 BOULEVARD
PASSAIC, NJ 07055
Anesthesiology
350 BOULEVARD
PASSAIC, NJ 07055
Student in an Organized Health Care Education/Training Program
350 BOULEVARD
PASSAIC, NJ 07055
Emergency Medicine
350 BOULEVARD
PASSAIC, NJ 07055
Anesthesiology
350 BOULEVARD
PASSAIC, NJ 07055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Okechukwu's NPI number?

The NPI number for Samuel Okechukwu is 1396412763. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is Samuel Okechukwu located?

Samuel Okechukwu practices at 350 Boulevard, Passaic, NJ 07055. The listed phone number is (862) 596-4831.

What is Samuel Okechukwu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samuel Okechukwu enrolled in Medicare?

Yes. Samuel Okechukwu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Okechukwu accept?

Health plans from Providence Health Plan list Samuel Okechukwu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Okechukwu was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.