THERESA NKECHI EKENEDO NP
NPI 1164096319
Nurse Practitioner - Family in Charlotte, NC
About Theresa Nkechi Ekenedo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA NKECHI EKENEDO NP (NPI 1164096319) is an individual family provider in Charlotte, North Carolina, licensed in South Carolina (F04210597) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Theresa Nkechi Ekenedo Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Theresa Ekenedo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, South Carolina enrollment
- 311 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 28203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
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 Theresa Ekenedo's NPI number?
The NPI number for Theresa Ekenedo is 1164096319. It was assigned to this individual provider in the NPPES registry on May 13, 2021. The provider is also known as Theresa Nkechi Okoye.
Where is Theresa Ekenedo located?
Theresa Ekenedo practices at 1000 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 446-3451.
What is Theresa Ekenedo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Theresa Ekenedo enrolled in Medicare?
Yes. Theresa Ekenedo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Theresa Ekenedo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Ekenedo reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Theresa Ekenedo'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 Theresa Ekenedo was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# Theresa Nkechi Ekenedo, NP · NPI 1164096319
Family physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since May 13, 2021.
## Identity
- **NPI:** 1164096319 (Entity type: Individual)
- **Enumerated:** May 13, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F04210597 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 BLYTHE BLVD, Charlotte, NC 28203-5812
- **Phone:** (704) 446-3451
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164096319) · Data from the CMS NPPES public registry.