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

Individual provider Family Nurse Practitioner · NPI 1649786138

Ikechukwu Okechukwu is a Nurse Practitioner in Maplewood, Minnesota. Qualified in 2017, 9 years ago. Practices with Sunshine Wounds LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2017
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Practice location Address checks out

1577 Legacy Pkwy E Unit 2
Maplewood, MN 55109-5416
Phone: (651) 302-6715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5598 (MN)

Record details

NPI number1649786138
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 19, 2017
Last updated in NPPESSeptember 22, 2024
Certification dateSeptember 22, 2024
Mailing address1577 Legacy Pkwy E Unit 2, Maplewood, MN 55109-5416

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sunshine Wounds Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Maplewood