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

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: October 18, 2026.

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

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.

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
Sole ProprietorYes
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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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

2

Medicare enrollment records show Ezinne Obijiaku reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Massachusetts enrollment
  • 48 clinicians in this Medicare group
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Massachusetts enrollment
  • 48 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 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.

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.

Social Worker (Clinical)
309 BELMONT ST
WORCESTER, MA 01604
Social Worker (Clinical)
309 BELMONT ST
WORCESTER, MA 01604
Social Worker (Clinical)
309 BELMONT ST
WORCESTER, MA 01604
Dentist
309 BELMONT ST
WORCESTER, MA 01604
Nurse Practitioner (Psychiatric/Mental Health)
309 BELMONT ST
WORCESTER, MA 01604
Social Worker (Clinical)
309 BELMONT ST
WORCESTER, MA 01604
Social Worker (Clinical)
309 BELMONT ST
WORCESTER, MA 01604
Counselor (Mental Health)
309 BELMONT ST
WORCESTER, MA 01604

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 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.

Where is Ezinne Obijiaku located?

Ezinne Obijiaku practices at 309 Belmont St, Worcester, MA 01604. The listed phone number is (857) 312-9702.

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.

Is Ezinne Obijiaku enrolled in Medicare?

Yes. Ezinne Obijiaku is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ezinne Obijiaku's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ezinne Obijiaku reassigns Medicare benefits to 2 organizations: Psychiatry Of Texas PLLC (Houston, TX) and Psychplus Medical Associates, PLLC (Houston, 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 Ezinne Obijiaku's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ezinne Obijiaku was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.