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DOROTHY OZOEMENAM CHUDI-AGBAKU
NPI 1740171123
Nurse Practitioner - Family in Clovis, CA

Active since July 14, 2025PECOS EnrolledAccepts Medicare Assignment
214 W ALAMOS AVE APT 204B, CLOVIS, CA 93612(859) 279-8225 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dorothy Ozoemenam Chudi-agbaku NPPES

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

DOROTHY OZOEMENAM CHUDI-AGBAKU (NPI 1740171123) is an individual family provider in Clovis, California, licensed in California (95035973) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1740171123
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOROTHY OZOEMENAM CHUDI-AGBAKU
Location Address214 W ALAMOS AVE APT 204BClovis, CA 93612-3609
Mailing Address214 W Alamos Ave Apt 204bClovis, CA 93612-3609 · (859) 279-8225
Phone(859) 279-8225
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 13, 2025
✔ NPI 1740171123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95035973
214 W ALAMOS AVE APT 204B, Clovis, CA 93612
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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

Dorothy Ozoemenam Chudi-agbaku 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 ID3678070547
PECOS Enrollment IDI20251023004319
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 93612 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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 Dorothy Chudi-agbaku's NPI number?

The NPI number for Dorothy Chudi-agbaku is 1740171123. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Dorothy Chudi-agbaku located?

Dorothy Chudi-agbaku practices at 214 W Alamos Ave Apt 204B, Clovis, CA 93612. The listed phone number is (859) 279-8225.

What is Dorothy Chudi-agbaku's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dorothy Chudi-agbaku enrolled in Medicare?

Yes. Dorothy Chudi-agbaku 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.

When was this NPI record last updated?

The NPPES record for Dorothy Chudi-agbaku was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.