KENNEDY OGBONNA ANYANWU NP
NPI 1013507276
Nurse Practitioner - Psychiatric/Mental Health in Eugene, OR

Active since January 21, 2021PECOS EnrolledAccepts Medicare Assignment
66 CLUB RD STE 120, EUGENE, OR 97401(832) 267-6258 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2024, Jan 21, 2021 (2 updates tracked since 2021).

About Kennedy Ogbonna Anyanwu Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY OGBONNA ANYANWU NP (NPI 1013507276) is an individual psychiatric/mental health provider in Eugene, Oregon, licensed in Oregon (10016721) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sugar Land, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013507276
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKENNEDY OGBONNA ANYANWUCredential: NP
Location Address66 CLUB RD STE 120Eugene, OR 97401-2439
Mailing Address66 Club Rd Ste 120Eugene, OR 97401-2439 · (832) 267-6258
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 21, 2021
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1013507276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OR · 10016721✔ Licensed in TX · 1020418
66 CLUB RD STE 120, Eugene, OR 97401

Secondary Practice Location 1

Location 111352 Sugar Park LnSugar Land, TX 77478-1406 · Phone (832) 248-4636

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kennedy Ogbonna Anyanwu Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789092255
PECOS Enrollment IDI20240712001776
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Kennedy Anyanwu reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Hospital
2600 CENTER ST NE
Salem, OR 97301
  • Reassigned Medicare billing, Oregon enrollment
  • 123 clinicians in this Medicare group
Psychiatric/Mental Health
216 COMMERCIAL ST NE STE 1905
Salem, OR 97301
  • Reassigned Medicare billing, Oregon enrollment
  • 2 clinicians in this Medicare group
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Oregon enrollment
  • 234 clinicians in this Medicare group
Psychiatric/Mental Health
15500 VOSS RD
Sugar Land, TX 77498
  • Reassigned Medicare billing, Oregon enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
66 CLUB RD STE 120
EUGENE, OR 97401
Counselor (Professional)
66 CLUB RD STE 120
EUGENE, OR 97401
Social Worker (Clinical)
66 CLUB RD STE 120
EUGENE, OR 97401
Marriage & Family Therapist
66 CLUB RD STE 120
EUGENE, OR 97401
Counselor (Professional)
66 CLUB RD STE 120
EUGENE, OR 97401
Social Worker (Clinical)
66 CLUB RD STE 120
EUGENE, OR 97401
Counselor (Professional)
66 CLUB RD STE 120
EUGENE, OR 97401
Counselor (Mental Health)
66 CLUB RD STE 120
EUGENE, OR 97401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Anyanwu's NPI number?

The NPI number for Kennedy Anyanwu is 1013507276. It was assigned to this individual provider in the NPPES registry on January 21, 2021.

Where is Kennedy Anyanwu located?

Kennedy Anyanwu practices at 66 Club Rd Ste 120, Eugene, OR 97401. The listed phone number is (832) 267-6258.

What is Kennedy Anyanwu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kennedy Anyanwu enrolled in Medicare?

Yes. Kennedy Anyanwu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kennedy Anyanwu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kennedy Anyanwu reassigns Medicare benefits to 4 organizations: Dhs/Office Of Financial Services Irs/Eopc/Bmrc/Eotc/Osh/Osh-P (Salem, OR), Sunray Psychiatry And Mental Healthcare LLC (Salem, OR), Mindful Therapy Group PC (Mountlake Terrace, WA) and Reyoni Insights, LLC (Sugar Land, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kennedy Anyanwu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kennedy Anyanwu accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Cigna Healthcare, Kaiser Permanente and Moda Health Plan, Inc. and 3 other insurers list Kennedy Anyanwu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kennedy Anyanwu was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.