MS. ADAOBI UDEMBA NURSE PRACTITIONER
NPI 1154753630
Nurse Practitioner - Acute Care in Woodside, NY

Q: What is Adaobi Udemba's NPI number?

The NPI number for Adaobi Udemba is 1154753630. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Q: What is Adaobi Udemba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Adaobi Udemba was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 August 06, 2013PECOS Enrolled

100/100

CMS Quality Rating

5010 63RD ST, TOP FLOOR, WOODSIDE, NY 11377(917) 378-2887 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Ms. Adaobi Udemba Nurse Practitioner NPPES

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

MS. ADAOBI UDEMBA NURSE PRACTITIONER (NPI 1154753630) is an individual acute care provider in Woodside, New York, licensed in New York (F430688-1) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2012).

NPPES Registry Identity

NPI1154753630

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMS. ADAOBI UDEMBACredential: NURSE PRACTITIONER

Location Address5010 63RD ST, TOP FLOORWoodside, NY 11377-5857

Mailing Address5010 63rd St, Top FloorWoodside, NY 11377-5857 · (917) 378-2887

Phone(917) 378-2887

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 2012

Enumeration DateAugust 6, 2013

✔ NPI 1154753630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in NY · F430688-1

5010 63RD ST, Woodside, NY 11377

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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)

Ms. Adaobi Udemba Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860622982

PECOS Enrollment IDI20140311000244

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11377 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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 Adaobi Udemba's NPI number?

The NPI number for Adaobi Udemba is 1154753630. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Adaobi Udemba located?

Adaobi Udemba practices at 5010 63rd St Top Floor, Woodside, NY 11377. The listed phone number is (917) 378-2887.

What is Adaobi Udemba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Adaobi Udemba enrolled in Medicare?

Yes. Adaobi Udemba is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adaobi Udemba was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.