IFEOMA JULIET EZEIGWE NP
NPI 1104329218
Nurse Practitioner - Gerontology in Tyler, TX

Q: What is Ifeoma Ezeigwe's NPI number?

The NPI number for Ifeoma Ezeigwe is 1104329218. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Q: What is Ifeoma Ezeigwe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Ifeoma Ezeigwe was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since March 14, 2018PECOS EnrolledAccepts Medicare Assignment

601 BEECHWOOD DR, TYLER, TX 75701(903) 593-1246(903) 593-1246 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2023, Mar 14, 2018 (2 updates tracked since 2018).

On this page

About Ifeoma Juliet Ezeigwe Np NPPES

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

IFEOMA JULIET EZEIGWE NP (NPI 1104329218) is an individual gerontology provider in Tyler, Texas, licensed in Texas (AP133917) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104329218

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameIFEOMA JULIET EZEIGWECredential: NP

Location Address601 BEECHWOOD DRTyler, TX 75701-7735

Mailing Address601 Beechwood DrTyler, TX 75701-7735 · (903) 593-1246 · Fax (903) 593-1246

Phone(903) 593-1246

Fax(903) 593-1246

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 14, 2018

Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration

NPPES CertifiedDecember 6, 2023

✔ NPI 1104329218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in TX · AP133917

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP133917 (TX)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AP133917 (TX)

601 BEECHWOOD DR, Tyler, TX 75701

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ifeoma Juliet Ezeigwe 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 ID8022432798

PECOS Enrollment IDI20200728002168

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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 Ifeoma Ezeigwe's NPI number?

The NPI number for Ifeoma Ezeigwe is 1104329218. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Where is Ifeoma Ezeigwe located?

Ifeoma Ezeigwe practices at 601 Beechwood Dr, Tyler, TX 75701. The listed phone number is (903) 593-1246.

What is Ifeoma Ezeigwe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Ifeoma Ezeigwe enrolled in Medicare?

Yes. Ifeoma Ezeigwe 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.

What insurance does Ifeoma Ezeigwe accept?

Health plans from Blue Cross and Blue Shield of Texas list Ifeoma Ezeigwe 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 Ifeoma Ezeigwe was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.