GRACE CHIDINMA EZENWAKA PMHNP
NPI 1023906997
Nurse Practitioner - Psychiatric/Mental Health in Tucson, AZ

Active since June 27, 2025PECOS EnrolledAccepts Medicare Assignment
250 S TOOLE AVE STE B, TUCSON, AZ 85701(520) 617-5500 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grace Chidinma Ezenwaka Pmhnp NPPES

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

GRACE CHIDINMA EZENWAKA PMHNP (NPI 1023906997) is an individual psychiatric/mental health provider in Tucson, Arizona, licensed in Arizona (262215) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023906997
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGRACE CHIDINMA EZENWAKACredential: PMHNP
Location Address250 S TOOLE AVE STE BTucson, AZ 85701-1814
Mailing Address6311 W Magdalena LnLaveen, AZ 85339-5483 · (480) 749-9098
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 27, 2025
Last NPPES UpdateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
✔ NPI 1023906997 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
License✔ Licensed in AZ · 262215
250 S TOOLE AVE STE B, Tucson, AZ 85701

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

Grace Chidinma Ezenwaka Pmhnp 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 ID4082101852
PECOS Enrollment IDI20251015000839
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

3

Medicare enrollment records show Grace Ezenwaka reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
250 S TOOLE AVE, SUITE C
Tucson, AZ 85701
  • Reassigned Medicare billing, Arizona enrollment
  • 131 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
5222 W GLENDALE AVE
Glendale, AZ 85301
  • Reassigned Medicare billing, Arizona enrollment
  • 5 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
42201 N 41ST DR STE 160
Anthem, AZ 85086
  • Reassigned Medicare billing, Arizona enrollment
  • 6 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 85701 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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

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

Nurse Practitioner (Psychiatric/Mental Health)
250 S TOOLE AVE STE B
TUCSON, AZ 85701

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 Grace Ezenwaka's NPI number?

The NPI number for Grace Ezenwaka is 1023906997. It was assigned to this individual provider in the NPPES registry on June 27, 2025.

Where is Grace Ezenwaka located?

Grace Ezenwaka practices at 250 S Toole Ave Ste B, Tucson, AZ 85701. The listed phone number is (520) 617-5500.

What is Grace Ezenwaka's specialty?

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

Is Grace Ezenwaka enrolled in Medicare?

Yes. Grace Ezenwaka 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 Grace Ezenwaka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Ezenwaka reassigns Medicare benefits to 3 organizations: Community Bridges, Inc. (Tucson, AZ), Icare Health Services LLC (Glendale, AZ) and Desert Bolt Behavioral LLC (Anthem, AZ). 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 Grace Ezenwaka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Ezenwaka accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Grace Ezenwaka 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 Grace Ezenwaka was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.