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

Nina Ezinne Nwoko, NP

Individual provider Nurse Practitioner · NPI 1689261679

Nina Ezinne Nwoko, NP is a Nurse Practitioner in Boise, Idaho. Qualified in 2020, 6 years ago. Practices with Five Star Medical Office PC, an 11-clinician group, works from 7 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Idaho, Illinois and Texas and 1 more.

Years since qualifying
6
Licensed in
FL, ID, IL, TX, VA
In the registry since
2020
Specialties on file
6
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 302-2000
Fax: (208) 302-2055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 — (888) 553-2823
  • 50 S Main St Ste 260, Naperville, IL 60540-5485 — (888) 553-2823
  • 169 Madison Ave Ste 2817, New York, NY 10016-5101 — (888) 553-2823
  • 1920 Grassmere Ln Apt 1623, McKinney, TX 75071-8542 — (512) 221-5754
  • 5851 Legacy Cir Fl 6, Plano, TX 75024-5966 — (888) 553-2823
  • 5680 King Centre Dr Ste 600, Alexandria, VA 22315-5755 — (888) 553-2823

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1021680 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 209030132 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 1021680 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11035264 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 78791 (ID)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024191331 (VA)

Record details

NPI number1689261679
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedDecember 24, 2020
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

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 Five Star Medical Office Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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