IndividualActive
Ikechukwu Okechukwu
NPI 1649786138 · Family Nurse Practitioner · Maplewood, MN
Provider details
- NPI number
- 1649786138
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5598 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1577 Legacy Pkwy E Unit 2
Maplewood, MN 55109-5416
Phone: (651) 302-6715
Street-level locationGet directions
Mailing address
1577 Legacy Pkwy E Unit 2
Maplewood, MN 55109-5416
Registry dates
- Enumerated
- 2017-12-19
- Last updated
- 2024-09-22
- Certified
- 2024-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.