PATRICK OKECHUKWU ERONINI AGACNP-BC
NPI 1568078079
Nurse Practitioner in Fair Oaks, CA

Active since September 20, 2020PECOS EnrolledAccepts Medicare Assignment
6608 MERCY CT STE B, FAIR OAKS, CA 95628(916) 277-8881 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2025, May 5, 2022, Sep 20, 2020 (3 updates tracked since 2020).

About Patrick Okechukwu Eronini Agacnp-bc NPPES

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

PATRICK OKECHUKWU ERONINI AGACNP-BC (NPI 1568078079) is an individual nurse practitioner in Fair Oaks, California, licensed in California (95030253) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1568078079
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NamePATRICK OKECHUKWU ERONINICredential: AGACNP-BC
Location Address6608 MERCY CT STE BFair Oaks, CA 95628-3171
Mailing AddressPo Box 3091Modesto, CA 95353-3091 · (209) 575-4575 · Fax (209) 575-4598
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 20, 2020
Last NPPES UpdateMay 9, 20253 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
NPI 1568078079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in CA · 95030253 Licensed in TX · 1013975
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1013975 (TX)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 1013975 (TX)
6608 MERCY CT STE B, Fair Oaks, CA 95628

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

Patrick Okechukwu Eronini Agacnp-bc 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 ID6204963788
PECOS Enrollment IDI20241206003319
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95628 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims341 services$4.72 avg. paid by Medicare
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims715 services$0.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
6608 MERCY CT STE B
FAIR OAKS, CA 95628
Nurse Practitioner
6608 MERCY CT STE B
FAIR OAKS, CA 95628
Internal Medicine
6608 MERCY CT STE B
FAIR OAKS, CA 95628
Internal Medicine
6608 MERCY CT STE B
FAIR OAKS, CA 95628
Internal Medicine
6608 MERCY CT STE B
FAIR OAKS, CA 95628
Internal Medicine
6608 MERCY CT STE B
FAIR OAKS, CA 95628
Family Medicine
6608 MERCY CT STE B
FAIR OAKS, CA 95628
Nurse Practitioner (Family)
6608 MERCY CT STE B
FAIR OAKS, CA 95628

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568078079, enumerated as an "individual" on September 20, 2020.

The provider is located at 6608 MERCY CT STE B FAIR OAKS, CA 95628 and the phone number is (916) 277-8881.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Molina. Please consult your insurance carrier or call the provider to verify.