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

Kaodichinma Ogbonna

Individual provider Family Nurse Practitioner · NPI 1972076693

Kaodichinma Ogbonna is a Nurse Practitioner in Detroit, Michigan. Qualified in 2018, 8 years ago. Practices with Pioneer Medical Group PLLC, a 21-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2019
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Practice location Address checks out

6071 W Outer Dr
Detroit, MI 48235-2624
Phone: (313) 966-1400
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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 4704267833 (MI)

Record details

NPI number1972076693
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 4, 2019
Last updated in NPPESJanuary 4, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Pioneer Medical Group Pllc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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