KEISHA UDORJI APRN
NPI 1114602695
Nurse Practitioner - Family in Hollywood, FL

Q: What is Keisha Udorji's NPI number?

The NPI number for Keisha Udorji is 1114602695. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Q: What is Keisha Udorji's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Keisha Udorji was last updated on April 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 21, 2023PECOS EnrolledAccepts Medicare Assignment

3800 S OCEAN DR STE 209, HOLLYWOOD, FL 33019(800) 226-8874 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2024, Jun 21, 2023 (2 updates tracked since 2023).

On this page

About Keisha Udorji Aprn NPPES

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

KEISHA UDORJI APRN (NPI 1114602695) is an individual family provider in Hollywood, Florida, licensed in Florida (APRN11026763) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114602695

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKEISHA UDORJICredential: APRN

Location Address3800 S OCEAN DR STE 209Hollywood, FL 33019-2915

Mailing Address3800 S Ocean Dr Ste 209Hollywood, FL 33019-2915 · (800) 226-8874

Phone(800) 226-8874

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 21, 2023

Last NPPES UpdateApril 1, 20242 updates tracked since enumeration

NPPES CertifiedApril 1, 2024

✔ NPI 1114602695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11026763

3800 S OCEAN DR STE 209, Hollywood, FL 33019

Open in Google Maps ↗

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

Keisha Udorji Aprn 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 ID5597104307

PECOS Enrollment IDI20240412002190

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 33019 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

Leave this field empty

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.

DEEDEE MARLENE LOVE

Nurse Practitioner (Family)