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

John Ikechukwu Nwabugwu, PHMNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1215530571

John Ikechukwu Nwabugwu, PHMNP is a Nurse Practitioner in Plymouth, Minnesota. Qualified in 2020, 6 years ago. Practices with Plymouth Psych Group LLC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2020
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Practice location Address checks out

9655 Schmidt Lake Rd Ste 150
Plymouth, MN 55442-4507
Phone: (507) 282-0724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 7877 (MN)

Record details

NPI number1215530571
Entity typeIndividual (Type 1)
GenderMale
Credentials PHMNP
Sole proprietorNo
NPI enumeratedNovember 19, 2020
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Plymouth Psych Group Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Plymouth