EZINNE OBIJIAKU
NPI 1154114148
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA

Q: What is Ezinne Obijiaku's NPI number?

The NPI number for Ezinne Obijiaku is 1154114148. It was assigned to this individual provider in the NPPES registry on May 23, 2025.

Q: What is Ezinne Obijiaku's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ezinne Obijiaku was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 23, 2025PECOS Enrolled

309 BELMONT ST, WORCESTER, MA 01604(857) 312-9702 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2025, May 23, 2025 (2 updates tracked since 2025).

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About Ezinne Obijiaku NPPES

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

EZINNE OBIJIAKU (NPI 1154114148) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN2354729) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154114148

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameEZINNE OBIJIAKU

Location Address309 BELMONT STWorcester, MA 01604-1059

Mailing Address539 Southbridge St Apt 1Worcester, MA 01610-3700 · (857) 312-9702

Phone(857) 312-9702

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMay 23, 2025

Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1154114148 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 MA · RN2354729

309 BELMONT ST, Worcester, MA 01604

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ezinne Obijiaku is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274035076

PECOS Enrollment IDI20250909001832

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 01604 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

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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.

CRYSTALL HOLLENKAMP LICSW

Social Worker (Clinical)