Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chikodi Obichere

Individual provider Nurse Practitioner · NPI 1093475253

Chikodi Obichere is a Nurse Practitioner in Valley Stream, New York. Qualified in 2021, 5 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
Specialties on file
3

Practice location Address checks out

12 Ash Ln
Valley Stream, NY 11581-1702
Phone: (917) 536-8517
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 432172 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 432172 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093475253
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 29, 2021
Last updated in NPPESMay 23, 2022
Certification dateMay 23, 2022
Mailing address12 Ash Ln, Valley Stream, NY 11581-1702

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Valley Stream